SULLIVAN, MAENELL
NPI: 1679675367
· TENINO, WA 98589
· Denturist
· NPI assigned 09/02/2006
$135K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
359 |
$20K |
| 2019 |
389 |
$42K |
| 2020 |
422 |
$6K |
| 2021 |
269 |
$42K |
| 2022 |
209 |
$15K |
| 2023 |
141 |
$5K |
| 2024 |
127 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
191 |
179 |
$80K |
| D0140 |
Limited oral evaluation - problem focused |
1,397 |
1,311 |
$33K |
| D5120 |
|
37 |
37 |
$18K |
| D1999 |
|
291 |
256 |
$4K |