Sunstrom, Jon

Sunstrom, Jon was paid $2K by Medicaid between Jan 2018 and Feb 2020, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 48% of everything it billed.

33Billing provider infoSUNSTROM, JON
BOONE, IA 50036

33aNPI1841404910assigned 05/09/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims112

24DCodes billed3

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#348 of 437

Median peer was paid$22K

This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	63	$1K
2019	37	$614.04
2020	12	$196.44

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	48%	73	71	$1K
D1110	Prophylaxis - adult	41%	27	26	$931.32
D1120	Dental cleaning, childProphylaxis - child	12%	12	12	$270.27

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.