SUNSHINE DENTAL HOUSE PC
NPI: 1669746475
· BRONX, NY 10457
· Dental Clinic/Center
· NPI assigned 02/27/2012
$132K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HASBANI, DAIVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
98 |
$2K |
| 2021 |
1,566 |
$38K |
| 2022 |
2,589 |
$75K |
| 2023 |
774 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
818 |
233 |
$49K |
| D1110 |
Prophylaxis - adult |
707 |
706 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
1,063 |
1,062 |
$21K |
| D0274 |
Bitewings - four radiographic images |
776 |
776 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
1,005 |
1,004 |
$10K |
| D1120 |
Prophylaxis - child |
127 |
127 |
$4K |
| D1351 |
Sealant - per tooth |
66 |
16 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
335 |
335 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
110 |
110 |
$1K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
20 |
12 |
$771.47 |