Summers, Dwayne

Summers, Dwayne was paid $2.16M by Medicaid between Jan 2018 and Dec 2020, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoSUMMERS, DWAYNE
CARBONDALE, IL 62901

33aNPI1023008364assigned 10/27/2005

33bProvider typeDentist

28Total paid$2.16M

24GClaims78,792

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#66 of 1,099

Median peer was paid$160K

This provider vs. median13×

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	29,856	$784K
2019	33,472	$915K
2020	15,464	$459K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	30%	16,531	16,018	$638K
D1351	Sealant - per tooth	29%	12,674	5,941	$632K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	16,563	16,094	$441K
D1206	Topical application of fluoride varnish	18%	16,444	15,940	$389K
D0601		1.4%	9,902	9,610	$30K
D0602		<1%	4,102	3,973	$13K
D0603		<1%	1,882	1,811	$7K
D0274	Bitewings - four radiographic images	<1%	293	288	$5K
D0272	Bitewings - two radiographic images	<1%	191	190	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	21	13	$1K
D1208	Topical application of fluoride, excluding varnish	<1%	33	33	$832.00
D0150	Comprehensive oral evaluation - new or established patient	<1%	156	150	$721.75

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.