Sundentalcorp

Sundentalcorp was paid $21K by Medicaid between Mar 2018 and Oct 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.

33Billing provider infoSUNDENTALCORP
SAN GABRIEL, CA 91776

33aNPI1952789406assigned 05/15/2015

33bProvider typeDentist

28Total paid$21K

24GClaims711

24DCodes billed7

24AFirst – last monthMar 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,756 of 2,314

Median peer was paid$185K

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	79	$1K
2019	82	$2K
2020	12	$540.00
2021	54	$597.90
2022	70	$2K
2023	109	$4K
2024incomplete	305	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	101	101	$6K
D1110	Prophylaxis - adult	29%	70	69	$6K
D0230	Intraoral - periapical each additional radiographic image	14%	179	131	$3K
D0220	Intraoral - periapical first radiographic image	11%	189	172	$2K
D1208	Topical application of fluoride, excluding varnish	9.9%	145	144	$2K
D0150	Comprehensive oral evaluation - new or established patient	3.8%	12	12	$792.00
D0274	Bitewings - four radiographic images	1.6%	15	15	$324.00

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.

From NPPES

Who's on the registration

Authorized officialKOR, JOSEPH (PRESIDENT)