SUNSTROM, JON
NPI: 1841404910
· BOONE, IA 50036
· General Practice Dentistry
· NPI assigned 05/09/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
63 |
$1K |
| 2019 |
37 |
$614.04 |
| 2020 |
12 |
$196.44 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
73 |
71 |
$1K |
| D1110 |
Prophylaxis - adult |
27 |
26 |
$931.32 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$270.27 |