Medicaid Provider Spending

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

SUNSHINE DENTAL CARE LLC

NPI: 1700338399 · WESTPORT, CT 06880 · Dental Clinic/Center · NPI assigned 10/29/2016

$41K
Total Medicaid Paid
1,589
Total Claims
1,523
Beneficiaries
10
Codes Billed
2018-03
First Month
2020-09
Last Month

Provider Details

Authorized OfficialCHAU, MAN HONG (OWNER)
NPI Enumeration Date10/29/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 211 $7K
2019 624 $16K
2020 754 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 395 382 $12K
D0120 Periodic oral evaluation - established patient 455 440 $10K
D1206 Topical application of fluoride varnish 312 304 $6K
D0150 Comprehensive oral evaluation - new or established patient 76 76 $3K
D1120 Prophylaxis - child 70 69 $3K
D0274 Bitewings - four radiographic images 93 89 $3K
D0140 Limited oral evaluation - problem focused 81 77 $2K
D0210 Intraoral - complete series of radiographic images 13 13 $822.14
D0220 Intraoral - periapical first radiographic image 52 49 $523.26
D0230 Intraoral - periapical each additional radiographic image 42 24 $425.00