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SUMMIT DENTAL HEALTH - OAKVIEW, LLC
SUMMIT DENTAL HEALTH - OAKVIEW, LLC
NPI: 1053729517
· OMAHA, NE 68144
· 1223G0001X
$1.21M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,001 |
$66K |
| 2019 |
3,225 |
$62K |
| 2020 |
3,488 |
$65K |
| 2021 |
7,327 |
$134K |
| 2022 |
10,882 |
$345K |
| 2023 |
7,460 |
$279K |
| 2024 |
7,679 |
$262K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,735 |
1,069 |
$202K |
| D1110 |
|
2,945 |
2,920 |
$164K |
| D1206 |
|
4,263 |
4,175 |
$148K |
| D0120 |
|
3,654 |
3,625 |
$133K |
| D0210 |
|
1,558 |
1,558 |
$122K |
| D0150 |
|
2,330 |
2,305 |
$89K |
| D0274 |
|
4,040 |
4,001 |
$72K |
| D1999 |
|
4,967 |
4,667 |
$48K |
| D1120 |
|
1,135 |
1,131 |
$44K |
| D0230 |
|
7,419 |
3,757 |
$44K |
| D0220 |
|
6,124 |
5,818 |
$43K |
| D2391 |
|
329 |
244 |
$30K |
| D0330 |
|
2,300 |
2,279 |
$28K |
| D0272 |
|
691 |
691 |
$10K |
| D2393 |
|
59 |
51 |
$10K |
| D1351 |
|
258 |
76 |
$6K |
| D2950 |
|
46 |
36 |
$6K |
| D7140 |
|
32 |
12 |
$5K |
| D2740 |
|
16 |
12 |
$4K |
| D0140 |
|
123 |
113 |
$4K |
| D1208 |
|
25 |
25 |
$586.21 |
| D9230 |
|
13 |
12 |
$364.00 |