Dental
Summerhill Family & Cosmetic Dentistry, PA
Summerhill Family & Cosmetic Dentistry, PA was paid $1.51M by Medicaid between Sep 2019 and Dec 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoSUMMERHILL FAMILY & COSMETIC DENTISTRY, PA
NORTH AUGUSTA, SC 29841
NORTH AUGUSTA, SC 29841
33aNPI1073967303assigned 04/23/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$1.51M
24GClaims40,931
24DCodes billed21
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#29 of 331
Median peer was paid$75K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2019 | 2,378 | $90K | |
| 2020 | 5,771 | $200K | |
| 2021 | 7,587 | $257K | |
| 2022 | 8,406 | $307K | |
| 2023 | 8,834 | $326K | |
| 2024incomplete | 7,955 | $326K |
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 | 18% | 2,813 | 1,822 | $271K |
| D1110 | Prophylaxis - adult | 12% | 3,538 | 3,537 | $176K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.8% | 1,022 | 788 | $117K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 1,486 | 1,118 | $116K |
| D0274 | Bitewings - four radiographic images | 7.6% | 4,127 | 4,126 | $114K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.3% | 681 | 505 | $95K |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 6,756 | 6,293 | $86K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 3,692 | 3,691 | $85K |
| D7140 | Extraction, erupted tooth or exposed root | 5.3% | 850 | 427 | $80K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 1,924 | 1,924 | $77K |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 4,271 | 4,270 | $70K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.8% | 1,653 | 1,653 | $58K |
9 more codes
| D0140 | Limited oral evaluation - problem focused | 3.6% | 1,487 | $54K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 4,617 | $44K |
| D0272 | Bitewings - two radiographic images | 1.6% | 1,241 | $24K |
| D0330 | Panoramic radiographic image | 1.5% | 475 | $23K |
| D1351 | Sealant - per tooth | <1% | 203 | $6K |
| D2335 | <1% | 43 | $5K | |
| D2394 | <1% | 13 | $2K | |
| D2332 | <1% | 14 | $1K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 25 | $812.50 |
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 officialPHAN, HIEU (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Hieu T Phan PC | Irving, TX | $147K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.