Summersett, Jane

Summersett, Jane was paid $8K by Medicaid between Jun 2018 and Jun 2020, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 44% of everything it billed.

33Billing provider infoSUMMERSETT, JANE
HOUGHTON, MI 49931

33aNPI1093165060assigned 06/20/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims317

24DCodes billed3

24AFirst – last monthJun 2018 – Jun 2020

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#882 of 1,554

Median peer was paid$15K

This provider vs. median0.6×

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	38	$1K
2019	246	$6K
2020	33	$882.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	44%	148	148	$4K
D1206	Topical application of fluoride varnish	28%	105	105	$2K
D1120	Dental cleaning, childProphylaxis - child	28%	64	64	$2K

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.