Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMMIT DENTAL HEALTH - OLD MARKET LLC

NPI: 1235547050 · OMAHA, NE 68102 · General Practice Dentistry · NPI assigned 07/24/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JAMES, STEVE controls 20+ related entities in our dataset. Read more

$543K
Total Medicaid Paid
18,069
Total Claims
16,561
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, STEVE (CFO)
NPI Enumeration Date07/24/2014

Related Entities

Other providers sharing the same authorized official: JAMES, STEVE

ProviderCityStateTotal Paid
KIDS DENTISTRY-JEFFERSON MALL,PLLC LOUISVILLE KY $9.77M
KIDS DENTISTRY-JEFFERSONVILLE, LLC JEFFERSONVILLE IN $6.37M
KIDS DENTISTRY-NEW ALBANY NEW ALBANY IN $4.61M
KIDS DENTISTREE - WESTPORT VILLAGE LOUISVILLE KY $4.19M
MORTENSON FAMILY DENTAL CENTER-VALLEY STATION LOUISVILLE KY $3.06M
ORAL SURGERY GROUP OF SOUTHERN INDIANA, LLC NEW ALBANY IN $1.99M
SUMMIT DENTAL HEALTH - E STREET LLC OMAHA NE $1.99M
SUMMIT DENTAL HEALTH - BRENTWOOD LLC LA VISTA NE $1.79M
MORTENSON FAMILY DENTAL CENTER-FOREST GREEN, PLLC LOUISVILLE KY $1.77M
SUMMIT DENTAL HEALTH - DUNDEE LLC OMAHA NE $1.71M
SUMMIT DENTAL HEALTH - TOWNE LLC BELLEVUE NE $1.60M
SUMMIT DENTAL HEALTH - CENTER LLC OMAHA NE $1.28M
SUMMIT DENTAL HEALTH - OAKVIEW, LLC OMAHA NE $1.21M
MORTENSON FAMILY DENTAL CENTER LOUISVILLE KY $1.10M
MORTENSON FAMILY DENTAL CENTER - VERSAILLES, PLLC VERSAILLES KY $793K
MORTENSON FAMILY DENTAL CENTER CRESTWOOD KY $631K
MORTENSONFAMILYDENTALCENTER-BUECHEL, PLLC LOUISVILLE KY $554K
MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC ELIZABETHTOWN KY $546K
CHILDREN'S DENTAL CENTER OF BIG SPRING, PLLC BIG SPRING TX $481K
MORTENSON FAMILY DENTAL CENTER-SHELBYVILLE EAST SHELBYVILLE KY $443K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 862 $14K
2019 2,555 $49K
2020 2,490 $49K
2021 4,568 $106K
2022 2,635 $111K
2023 3,408 $151K
2024 1,551 $64K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 2,109 2,071 $101K
D0210 Intraoral - complete series of radiographic images 1,352 1,328 $88K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 700 431 $69K
D0150 Comprehensive oral evaluation - new or established patient 2,005 1,960 $68K
D1206 Topical application of fluoride varnish 2,293 2,222 $59K
D0120 Periodic oral evaluation - established patient 1,155 1,142 $34K
D0274 Bitewings - four radiographic images 2,546 2,496 $31K
D0330 Panoramic radiographic image 2,106 2,056 $20K
D0140 Limited oral evaluation - problem focused 474 469 $17K
D0220 Intraoral - periapical first radiographic image 1,842 1,750 $14K
D2391 Resin-based composite - one surface, posterior, primary or permanent 159 94 $12K
D7140 Extraction, erupted tooth or exposed root 131 53 $10K
D1351 Sealant - per tooth 369 75 $8K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 33 12 $4K
D0230 Intraoral - periapical each additional radiographic image 625 242 $4K
D1120 Prophylaxis - child 102 99 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 17 12 $1K
D1999 51 49 $510.00