Summit Dental Health - Old Market LLC
Summit Dental Health - Old Market LLC was paid $543K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
OMAHA, NE 68102
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 | 862 | $14K | |
| 2019 | 2,555 | $49K | |
| 2020 | 2,490 | $49K | |
| 2021 | 4,568 | $106K | |
| 2022 | 2,635 | $111K | |
| 2023 | 3,408 | $151K | |
| 2024incomplete | 1,551 | $64K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 2,109 | 2,071 | $101K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 1,352 | 1,328 | $88K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 700 | 431 | $69K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 2,005 | 1,960 | $68K |
| D1206 | Topical application of fluoride varnish | 11% | 2,293 | 2,222 | $59K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 1,155 | 1,142 | $34K |
| D0274 | Bitewings - four radiographic images | 5.8% | 2,546 | 2,496 | $31K |
| D0330 | Panoramic radiographic image | 3.7% | 2,106 | 2,056 | $20K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 474 | 469 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 1,842 | 1,750 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 159 | 94 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 131 | 53 | $10K |
6 more codes
| D1351 | Sealant - per tooth | 1.5% | 369 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 33 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 625 | $4K |
| D1120 | Dental cleaning, child | <1% | 102 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 17 | $1K |
| D1999 | <1% | 51 | $510.00 |
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.