Dental
Summit Dental Center
Summit Dental Center was paid $352K by Medicaid between Oct 2020 and Sep 2021, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoSUMMIT DENTAL CENTER
HOUSTON, TX 77021
HOUSTON, TX 77021
33aNPI1073673455assigned 12/08/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$352K
24GClaims17,735
24DCodes billed17
24AFirst – last monthOct 2020 – Sep 2021
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#640 of 2,774
Median peer was paid$43K
This provider vs. median8.3×
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 | |
|---|---|---|---|
| 2020 | 3,040 | $60K | |
| 2021 | 14,695 | $292K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 1,085 | 409 | $76K |
| D1351 | Sealant - per tooth | 13% | 2,399 | 634 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,799 | 1,790 | $37K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.5% | 1,142 | 1,138 | $30K |
| D0274 | Bitewings - four radiographic images | 7.4% | 1,071 | 1,064 | $26K |
| D1110 | Prophylaxis - adult | 7.0% | 652 | 643 | $25K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.2% | 224 | 77 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 5.4% | 1,804 | 1,793 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 2,057 | 2,042 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 1,951 | 1,929 | $16K |
| D0272 | Bitewings - two radiographic images | 4.0% | 830 | 829 | $14K |
| D0145 | Oral evaluation for a patient under three years of age | 3.4% | 118 | 118 | $12K |
5 more codes
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 officialLOPEZ, SUSANA (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Summit Dental Center | Houston, TX | $397K |
| Summit Dental Center | Houston, TX | $318K |
| Summit Dental Center | Pasadena, TX | $263K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.