SUNNYSIDE DENTAL, PC
NPI: 1568505360
· SUNNYSIDE, NY 11104
· Dental Clinic/Center
· NPI assigned 02/14/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
50 |
$1K |
| 2019 |
170 |
$3K |
| 2022 |
153 |
$3K |
| 2023 |
12 |
$489.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
108 |
108 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
103 |
103 |
$2K |
| D0274 |
Bitewings - four radiographic images |
54 |
54 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
80 |
80 |
$703.44 |
| D0230 |
Intraoral - periapical each additional radiographic image |
40 |
40 |
$274.78 |