Medicaid Provider Spending

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

SUNSHINE DENTAL CENTER, LLC

NPI: 1801133871 · WAIPAHU, HI 96797 · Dentist · NPI assigned 01/11/2013

$2K
Total Medicaid Paid
99
Total Claims
77
Beneficiaries
4
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMESINAS, ELAINE (OWNER)
NPI Enumeration Date01/11/2013

Related Entities

Other providers sharing the same authorized official: MESINAS, ELAINE

ProviderCityStateTotal Paid
SUNSHINE DENTAL CENTER, LLC HONOLULU HI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 48 $378.56
2024 51 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 26 26 $1K
D1206 Topical application of fluoride varnish 25 25 $616.50
D0230 Intraoral - periapical each additional radiographic image 35 13 $236.60
D0220 Intraoral - periapical first radiographic image 13 13 $141.96