Clinic
DR Tracy Repancol Sunga DDS LLC
DR Tracy Repancol Sunga DDS LLC was paid $14K by Medicaid between Jun 2024 and Nov 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 27% of everything it billed.
33Billing provider infoDR TRACY REPANCOL SUNGA DDS LLC
DEDEDO, GU 96929
DEDEDO, GU 96929
33aNPI1487434908assigned 10/02/2023
33bProvider typeDental Clinic/Center
28Total paid$14K
24GClaims463
24DCodes billed7
24AFirst – last monthJun 2024 – Nov 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 463 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 51 | 51 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 52 | 52 | $3K |
| D1351 | Sealant - per tooth | 19% | 92 | 14 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 115 | 114 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.9% | 85 | 85 | $1K |
| D1203 | 7.5% | 52 | 52 | $1K | |
| D0274 | Bitewings - four radiographic images | 4.0% | 16 | 16 | $576.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSUNGA, TRACY (OWNER)