DR TRACY REPANCOL SUNGA DDS LLC
NPI: 1487434908
· DEDEDO, GU 96929
· Dental Clinic/Center
· NPI assigned 10/02/2023
Provider Details
| Authorized Official | SUNGA, TRACY (OWNER) |
| NPI Enumeration Date | 10/02/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
463 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
51 |
51 |
$4K |
| D1120 |
Prophylaxis - child |
52 |
52 |
$3K |
| D1351 |
Sealant - per tooth |
92 |
14 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
115 |
114 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
85 |
85 |
$1K |
| D1203 |
|
52 |
52 |
$1K |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$576.00 |