Dental
Summit Dental Center
Summit Dental Center was paid $263K by Medicaid between Jul 2019 and Sep 2021, across 19 billing codes. Its largest line is D1351, Sealant - per tooth — 16% of everything it billed.
33Billing provider infoSUMMIT DENTAL CENTER
PASADENA, TX 77504
PASADENA, TX 77504
33aNPI1194885558assigned 12/08/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$263K
24GClaims14,249
24DCodes billed19
24AFirst – last monthJul 2019 – Sep 2021
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#726 of 2,774
Median peer was paid$43K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2019 | 37 | $288.84 | |
| 2020 | 1,774 | $32K | |
| 2021 | 12,438 | $231K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 16% | 2,199 | 549 | $43K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 587 | 278 | $41K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,560 | 1,548 | $32K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.3% | 867 | 856 | $22K |
| D0274 | Bitewings - four radiographic images | 8.1% | 873 | 863 | $21K |
| D1110 | Prophylaxis - adult | 7.0% | 481 | 476 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 1,509 | 1,493 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 5.9% | 1,746 | 1,726 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.1% | 1,636 | 1,620 | $13K |
| D0145 | Oral evaluation for a patient under three years of age | 4.4% | 119 | 116 | $12K |
| D0272 | Bitewings - two radiographic images | 2.9% | 459 | 454 | $8K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.8% | 76 | 31 | $7K |
7 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 122 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 274 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 25 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 25 | $1K |
| D0603 | 0% | 1,237 | $0.00 | |
| D0601 | 0% | 374 | $0.00 | |
| D0602 | 0% | 80 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialLOPEZ, SUSANA (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Summit Dental Center | Houston, TX | $397K |
| Summit Dental Center | Houston, TX | $352K |
| Summit Dental Center | Houston, TX | $318K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.