SUNSHINE SMILES PEDIATRIC DENTISTRY LLC
NPI: 1487410924
· GARDNER, KS 66030
· Pediatric Dentist
· NPI assigned 02/22/2024
Provider Details
| Authorized Official | CASA, ADELA (OWNER) |
| NPI Enumeration Date | 02/22/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
481 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
182 |
28 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
81 |
81 |
$3K |
| D1206 |
Topical application of fluoride varnish |
100 |
98 |
$2K |
| D1120 |
Prophylaxis - child |
52 |
52 |
$2K |
| D0272 |
Bitewings - two radiographic images |
41 |
41 |
$878.18 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$765.53 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$151.14 |