SUNRISE SMILES LLC
NPI: 1518372135
· MACHIASPORT, ME 04655
· Dental Clinic/Center
· NPI assigned 06/23/2014
Provider Details
| Authorized Official | INGALLS, LANA (INDEPENDENT DENTAL HYGIENIST) |
| NPI Enumeration Date | 06/23/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
172 |
$2K |
| 2019 |
92 |
$960.00 |
| 2020 |
152 |
$3K |
| 2021 |
75 |
$1K |
| 2022 |
16 |
$168.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
344 |
327 |
$4K |
| D1120 |
Prophylaxis - child |
80 |
79 |
$2K |
| D1351 |
Sealant - per tooth |
69 |
12 |
$672.00 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$520.00 |