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    OpenPayerNPI Medicare & MedicaidDr Tracy Repancol Sunga Dds LLC
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    Dr Tracy Repancol Sunga Dds LLC — Billing Profile & Reimbursement Data

    NPI 1487434908 · Dededo, GU · Dental Clinic/Center

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    Dr Tracy Repancol Sunga Dds LLC is a dental clinic/center provider located in Dededo, Guam. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDr Tracy Repancol Sunga Dds LLC
    Address674 Harmon Loop Rd Ste 208
    CityDededo
    StateGU
    ZIP96929
    TaxonomyDental Clinic/Center
    NPI EnumeratedOctober 2, 2023

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$14.4K
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and is effectively a single-payer Medicaid operator at present, reporting $14.4K in lifetime Medicaid revenue. The absence of Medicare activity means any competitive or operational conclusions should be drawn solely from the Medicaid footprint.

    Revenue is highly concentrated in a small set of dental service lines: the precomputed top three Medicaid codes (D0150, D1120, D1351) account for 68.3% of this provider’s total Medicaid revenue. Individually those codes are listed as D0150 $3.9K (27.3%), D1120 $3.1K (21.7%), and D1351 $2.8K (19.2%), indicating a dependence on a few preventive/diagnostic procedures for the bulk of payment.

    The code mix (D0150 comprehensive oral evaluation, D1120 prophylaxis–child, D1351 sealant per tooth, plus multiple intraoral radiographs D0220/D0230) indicates this practice operates primarily as a general dental clinic with a strong emphasis on preventive and pediatric services and routine diagnostics rather than specialty procedures. High relative counts for sealants (92 claims) and child prophylaxis (52 claims) reinforce a patient mix that likely includes children and preventive-care visits.

    Provider-level utilization for the top individual codes is modest within the state: D0150 ranks #10 of 10 providers (0th percentile; typical, unremarkable volume for this code), D1120 ranks #11 of 11 (0th percentile; typical, unremarkable volume), and D1351 ranks #9 of 9 (0th percentile; typical, unremarkable volume). These rank and percentile positions characterize the provider as a minor participant for those procedures statewide rather than a major or dominant provider.

    Claims-and-payment profile shows modest throughput and low average reimbursements typical of Medicaid dental: D0150 had 51 claims at $77 avg paid/claim, D1120 had 52 claims at $60 avg paid/claim, and D1351 had 92 claims at $30 avg paid/claim. This combination of limited claim counts and Medicaid-level average payments corresponds with the overall $14.4K Medicaid lifetime revenue and a reliance on volume of routine visits.

    Secondary codes contribute only small shares of revenue and similarly reflect typical-to-below-average state standing: D0220 generated $1.6K from 115 claims ($14 avg paid/claim) and ranks #11 of 15 providers (29th percentile), D0230 generated $1.3K from 85 claims ($15 avg paid/claim) and ranks #11 of 13 providers (17th percentile), D1203 generated $1.1K from 52 claims ($21 avg paid/claim) and ranks #11 of 11 providers (0th percentile), and D0274 generated $576 from 16 claims ($36 avg paid/claim) and ranks #8 of 9 providers (13th percentile). These figures indicate these services are present but are not distinguishing this practice in the in-state competitive landscape.

    The NPI was enumerated on 2023-10-02 (~3 years ago), signaling a relatively recent market entry; that tenure helps explain the limited Medicaid revenue base and low statewide ranks and suggests the current footprint may still be in an early growth or establishment phase rather than a mature, high-volume operation.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0150Comprehensive oral evaluation – new or established patient50$80$3.9K
    D1120Prophylaxis–child50$60$3.1K
    D1351Sealant - per tooth90$30$2.8K
    D0220Intraoral - periapical first radiographic image120$10$1.6K
    D0230Intraoral - periapical each additional radiographic image90$20$1.3K
    D1203N/A50$20$1.1K
    D0274N/A20$40$580

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Guam providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Guam median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D1120Prophylaxis–child11102,140$60$195.3K
    D0150Comprehensive oral evaluation – new or established patient10101,460$70$192.7K
    D1351Sealant - per tooth910280$30$115.1K
    D0230Intraoral - periapical each additional radiographic image11101,370$20$85.3K
    D0274N/A810720$30$41.9K
    D1203N/A11101,340$20$41.7K
    D0220Intraoral - periapical first radiographic image1120350$10$38K

    Nearby Providers

    Other providers in the same ZIP code as Dr Tracy Repancol Sunga Dds LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guam Healthcare Development IncorporatedGUClinic/Center$0$30.8M
    C V Alegria Dds IncGUGeneral Practice Dentistry$0$11.3M
    Albert HuangGUDentist$0$5.4M
    Usrc Finegayan, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.5M
    Renal Centers Of Guam, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.1M
    Government Of Guam Department Of AdministrationGUFederally Qualified Health Center (FQHC)$0$2.4M
    Maria Chela MarianoGUFamily Medicine Physician$0$1.8M
    Scott ShayGUVascular & Interventional Radiology Physician$1.2M$0
    Anthony BekkermanGUEmergency Medicine Physician$49.5K$623.9K
    Blue Ocean Medical Group LLCGUFamily Medicine Physician$0$665.1K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Guam Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Guam Distribution
    Dr Tracy Repancol Sunga Dds LLC — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam