Dental
Summit Oral Surgery LLC
Summit Oral Surgery LLC was paid $1.76M by Medicaid between Feb 2018 and Dec 2024, across 9 billing codes. Its largest line is D9243, — 34% of everything it billed.
33Billing provider infoSUMMIT ORAL SURGERY LLC
WASILLA, AK 99654
WASILLA, AK 99654
33aNPI1174709927assigned 01/10/2008
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$1.76M
24GClaims10,821
24DCodes billed9
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Alaska
Rank by total paid#2 of 5
Median peer was paid$417K
This provider vs. median4.2×
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 | 818 | $151K | |
| 2019 | 2,812 | $547K | |
| 2020 | 1,877 | $340K | |
| 2021 | 1,655 | $251K | |
| 2022 | 1,742 | $212K | |
| 2023 | 1,046 | $151K | |
| 2024incomplete | 871 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9243 | 34% | 1,295 | 1,116 | $599K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 23% | 1,838 | 712 | $401K |
| D9239 | 11% | 1,293 | 1,189 | $188K | |
| D0140 | Limited oral evaluation - problem focused | 9.4% | 2,757 | 2,668 | $165K |
| D0330 | Panoramic radiographic image | 5.9% | 1,395 | 1,232 | $103K |
| D7240 | Removal of impacted tooth - completely bony | 5.3% | 256 | 90 | $93K |
| D9610 | 4.9% | 1,177 | 1,117 | $86K | |
| D7140 | Extraction, erupted tooth or exposed root | 4.8% | 665 | 52 | $84K |
| D7230 | 2.3% | 145 | 62 | $41K |
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 officialWELCH, MATTHEW (MEMBER)