Summit Dental Health - Q Street LLC
Summit Dental Health - Q Street LLC was paid $39K by Medicaid between Jan 2018 and Sep 2018, across 13 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 16% of everything it billed.
OMAHA, NE 68127
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 | 2,588 | $39K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 16% | 347 | 341 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 78 | 52 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 283 | 273 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 202 | 199 | $5K |
| D1110 | Prophylaxis - adult | 9.7% | 131 | 125 | $4K |
| D0274 | Bitewings - four radiographic images | 9.0% | 299 | 287 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 6.8% | 61 | 61 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 449 | 420 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.0% | 476 | 392 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 70 | 70 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 37 | 28 | $924.00 |
| D0272 | Bitewings - two radiographic images | 1.1% | 39 | 39 | $429.00 |
1 more codes
| D0330 | Panoramic radiographic image | <1% | 116 | $360.00 |
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.