Summit Dental Health - Brentwood LLC
Summit Dental Health - Brentwood LLC was paid $1.79M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
LA VISTA, NE 68128
Next to other General Practice Dentistry providers in Nebraska
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 9,725 | $344K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 2,298 | 1,490 | $310K |
| D1206 | Topical application of fluoride varnish | 12% | 6,616 | 6,433 | $224K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 2,665 | 2,664 | $213K |
| D1110 | Prophylaxis - adult | 12% | 3,839 | 3,799 | $209K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 4,839 | 4,808 | $171K |
| D0274 | Bitewings - four radiographic images | 6.9% | 6,534 | 6,467 | $123K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 3,161 | 3,123 | $118K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 2,238 | 2,231 | $87K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 639 | 462 | $71K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 9,570 | 9,320 | $59K |
| D1999 | 3.2% | 5,710 | 5,268 | $57K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 12,670 | 8,362 | $56K |
7 more codes
| D0330 | Panoramic radiographic image | 1.5% | 3,408 | $27K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 173 | $26K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 633 | $24K |
| D1351 | Sealant - per tooth | <1% | 249 | $10K |
| D0272 | Bitewings - two radiographic images | <1% | 592 | $8K |
| D4355 | <1% | 14 | $622.18 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 18 | $420.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.