Summit Dental Care

Summit Dental Care was paid $53K by Medicaid between Feb 2018 and Jun 2020, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.

33Billing provider infoSUMMIT DENTAL CARE
SILOAM SPRINGS, AR 72761

33aNPI1194157818assigned 08/05/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$53K

24GClaims1,941

24DCodes billed8

24AFirst – last monthFeb 2018 – Jun 2020

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#173 of 401

Median peer was paid$36K

This provider vs. median1.5×

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	989	$28K
2019	856	$23K
2020	96	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	648	504	$16K
D1208	Topical application of fluoride, excluding varnish	23%	649	501	$12K
D1110	Prophylaxis - adult	23%	277	216	$12K
D0272	Bitewings - two radiographic images	8.5%	192	124	$4K
D1120	Dental cleaning, childProphylaxis - child	7.3%	111	87	$4K
D2150	Silver amalgam - two surfaces, primary or permanent	3.8%	25	14	$2K
D0210	Intraoral - complete series of radiographic images	2.5%	17	15	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.1%	22	13	$588.40

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 officialJEPPSEN, PETER (OWNER)