Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MN › Maple Grove › NPI 1962158709
Dental

Sunny Dental P.C.

Sunny Dental P.C. was paid $877K by Medicaid between Jun 2022 and Dec 2024, across 20 billing codes. Its largest line is D1351, Sealant - per tooth — 15% of everything it billed.

33Billing provider infoSUNNY DENTAL P.C.
MAPLE GROVE, MN 55369
33aNPI1962158709assigned 03/01/2022
33bProvider typeDentist
28Total paid$877K
24GClaims14,901
24DCodes billed20
24AFirst – last monthJun 2022 – Dec 2024
Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#19 of 192
Median peer was paid$9K
This provider vs. median96×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2022840$34K
20235,808$350K
2024incomplete8,253$493K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1351 Sealant - per tooth 15% 2,883 524 $128K
D8670 Periodic orthodontic treatment visit 11% 531 498 $100K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 2,004 1,968 $92K
D1110 Prophylaxis - adult 9.5% 1,165 1,138 $84K
D0330 Panoramic radiographic image 9.1% 764 746 $80K
D1206 Topical application of fluoride varnish 7.3% 1,686 1,654 $64K
D9990 7.3% 1,166 981 $64K
D0274 Bitewings - four radiographic images 6.2% 1,018 998 $54K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4.8% 364 225 $42K
D1120 Dental cleaning, childProphylaxis - child 4.7% 754 749 $41K
D0350 2.9% 305 302 $26K
D0340 2.7% 191 189 $23K
8 more codes
D0220 Intraoral - periapical first radiographic image 2.2% 911 $20K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.1% 194 $18K
D0140 Limited oral evaluation - problem focused 1.3% 203 $11K
D0230 Intraoral - periapical each additional radiographic image <1% 531 $7K
D7140 Extraction, erupted tooth or exposed root <1% 59 $7K
D0272 Bitewings - two radiographic images <1% 114 $6K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 39 $6K
D7111 <1% 19 $3K

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 officialLEE, TAE (PRESIDENT)
Same official

Other billing entities under LEE, TAE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.