Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUNRISE DENTAL PARTNERS

NPI: 1528826245 · PEABODY, MA 01960 · Dental Clinic/Center · NPI assigned 03/07/2024

$33K
Total Medicaid Paid
966
Total Claims
901
Beneficiaries
9
Codes Billed
2024-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSEREDKINA, LARISA (MANAGER)
NPI Enumeration Date03/07/2024

Related Entities

Other providers sharing the same authorized official: SEREDKINA, LARISA

ProviderCityStateTotal Paid
ATLANTIC DENTAL PEABODY MA $1.50M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 966 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 152 152 $9K
D0274 Bitewings - four radiographic images 135 135 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 42 13 $4K
D0220 Intraoral - periapical first radiographic image 265 253 $4K
D0120 Periodic oral evaluation - established patient 146 146 $4K
D0140 Limited oral evaluation - problem focused 43 42 $2K
D1208 Topical application of fluoride, excluding varnish 52 52 $2K
D1120 Prophylaxis - child 26 26 $1K
D0230 Intraoral - periapical each additional radiographic image 105 82 $1K