JESSAMINE T. SUNGLAO DDS INC
NPI: 1912443110
· LA MESA, CA 91942
· General Practice Dentistry
· NPI assigned 01/11/2017
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
72 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
30 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
30 |
30 |
$1K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$1K |