Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › LA VISTA › SUMMIT DENTAL HEALTH - BRENTWOOD LLC

SUMMIT DENTAL HEALTH - BRENTWOOD LLC

NPI: 1154739613 · LA VISTA, NE 68128 · General Practice Dentistry · NPI assigned 07/29/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JAMES, STEVE controls 20+ related entities in our dataset. Read more

$1.79M
Total Medicaid Paid
65,866
Total Claims
59,185
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, STEVE (CFO)
NPI Enumeration Date07/29/2014

Related Entities

Other providers sharing the same authorized official: JAMES, STEVE

ProviderCityStateTotal Paid
KIDS DENTISTRY-JEFFERSON MALL,PLLC LOUISVILLE KY $9.77M
KIDS DENTISTRY-JEFFERSONVILLE, LLC JEFFERSONVILLE IN $6.37M
KIDS DENTISTRY-NEW ALBANY NEW ALBANY IN $4.61M
KIDS DENTISTREE - WESTPORT VILLAGE LOUISVILLE KY $4.19M
MORTENSON FAMILY DENTAL CENTER-VALLEY STATION LOUISVILLE KY $3.06M
ORAL SURGERY GROUP OF SOUTHERN INDIANA, LLC NEW ALBANY IN $1.99M
SUMMIT DENTAL HEALTH - E STREET LLC OMAHA NE $1.99M
MORTENSON FAMILY DENTAL CENTER-FOREST GREEN, PLLC LOUISVILLE KY $1.77M
SUMMIT DENTAL HEALTH - DUNDEE LLC OMAHA NE $1.71M
SUMMIT DENTAL HEALTH - TOWNE LLC BELLEVUE NE $1.60M
SUMMIT DENTAL HEALTH - CENTER LLC OMAHA NE $1.28M
SUMMIT DENTAL HEALTH - OAKVIEW, LLC OMAHA NE $1.21M
MORTENSON FAMILY DENTAL CENTER LOUISVILLE KY $1.10M
MORTENSON FAMILY DENTAL CENTER - VERSAILLES, PLLC VERSAILLES KY $793K
MORTENSON FAMILY DENTAL CENTER CRESTWOOD KY $631K
MORTENSONFAMILYDENTALCENTER-BUECHEL, PLLC LOUISVILLE KY $554K
MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC ELIZABETHTOWN KY $546K
SUMMIT DENTAL HEALTH - OLD MARKET LLC OMAHA NE $543K
CHILDREN'S DENTAL CENTER OF BIG SPRING, PLLC BIG SPRING TX $481K
MORTENSON FAMILY DENTAL CENTER-SHELBYVILLE EAST SHELBYVILLE KY $443K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,973 $73K
2019 6,954 $113K
2020 6,482 $94K
2021 10,365 $192K
2022 14,441 $479K
2023 12,926 $498K
2024 9,725 $344K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,298 1,490 $310K
D1206 Topical application of fluoride varnish 6,616 6,433 $224K
D0210 Intraoral - complete series of radiographic images 2,665 2,664 $213K
D1110 Prophylaxis - adult 3,839 3,799 $209K
D0120 Periodic oral evaluation - established patient 4,839 4,808 $171K
D0274 Bitewings - four radiographic images 6,534 6,467 $123K
D0150 Comprehensive oral evaluation - new or established patient 3,161 3,123 $118K
D1120 Prophylaxis - child 2,238 2,231 $87K
D2391 Resin-based composite - one surface, posterior, primary or permanent 639 462 $71K
D0220 Intraoral - periapical first radiographic image 9,570 9,320 $59K
D1999 5,710 5,268 $57K
D0230 Intraoral - periapical each additional radiographic image 12,670 8,362 $56K
D0330 Panoramic radiographic image 3,408 3,354 $27K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 173 121 $26K
D0140 Limited oral evaluation - problem focused 633 604 $24K
D1351 Sealant - per tooth 249 63 $10K
D0272 Bitewings - two radiographic images 592 589 $8K
D4355 14 14 $622.18
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 18 13 $420.00