J&M SUNNYBROOK INC DBA SUNNYBROOK DENTAL
NPI: 1669660254
· SIOUX CITY, IA 51106
· Dental Clinic/Center
· NPI assigned 10/09/2007
Provider Details
| Authorized Official | STEVENS, MINDY (PRESIDENT/DENTIST) |
| NPI Enumeration Date | 10/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
648 |
$14K |
| 2019 |
769 |
$18K |
| 2020 |
391 |
$8K |
| 2021 |
411 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
864 |
816 |
$19K |
| D1206 |
Topical application of fluoride varnish |
894 |
843 |
$16K |
| D1120 |
Prophylaxis - child |
369 |
358 |
$12K |
| D1110 |
Prophylaxis - adult |
75 |
67 |
$3K |
| D0274 |
Bitewings - four radiographic images |
17 |
15 |
$396.47 |