SUMMIT DENTAL HEALTH - BLONDO LLC
NPI: 1124418892
· OMAHA, NE 68134
· 1223G0001X
$2.19M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,243 |
$85K |
| 2019 |
4,200 |
$77K |
| 2020 |
3,077 |
$66K |
| 2021 |
5,935 |
$136K |
| 2022 |
9,450 |
$450K |
| 2023 |
15,062 |
$712K |
| 2024 |
15,877 |
$664K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,622 |
1,510 |
$361K |
| D0210 |
|
2,982 |
2,980 |
$247K |
| D1206 |
|
6,417 |
6,279 |
$235K |
| D1110 |
|
3,709 |
3,678 |
$222K |
| D0150 |
|
4,350 |
4,292 |
$170K |
| D0120 |
|
4,266 |
4,237 |
$157K |
| D1351 |
|
2,531 |
517 |
$132K |
| D2393 |
|
656 |
421 |
$118K |
| D2740 |
|
130 |
117 |
$84K |
| D0274 |
|
5,243 |
5,181 |
$83K |
| D1120 |
|
1,871 |
1,870 |
$82K |
| D0330 |
|
4,279 |
4,219 |
$53K |
| D7140 |
|
516 |
128 |
$51K |
| D0230 |
|
8,858 |
3,213 |
$41K |
| D0220 |
|
5,339 |
5,079 |
$34K |
| D2391 |
|
306 |
219 |
$32K |
| D1999 |
|
2,766 |
2,643 |
$27K |
| D2950 |
|
135 |
125 |
$20K |
| D0140 |
|
432 |
424 |
$19K |
| D7210 |
|
65 |
38 |
$10K |
| D4910 |
|
71 |
71 |
$5K |
| D0272 |
|
300 |
300 |
$4K |