Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Sumiton Family Dentistry, LLC

Sumiton Family Dentistry, LLC was paid $58K by Medicaid between Jan 2019 and Oct 2024, across 10 billing codes. Its largest line is D1999, — 34% of everything it billed.

33Billing provider infoSUMITON FAMILY DENTISTRY, LLC
SUMITON, AL 35148
33aNPI1265946768assigned 11/21/2017
33bProvider typeDental Clinic/Center
28Total paid$58K
24GClaims3,281
24DCodes billed10
24AFirst – last monthJan 2019 – Oct 2024
Compared with peers

Next to other Dental Clinic/Center providers in Alabama

Rank by total paid#22 of 59
Median peer was paid$28K
This provider vs. median2.1×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2019304$4K
2020214$3K
2021446$10K
20221,016$17K
2023903$16K
2024incomplete398$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1999 34% 1,148 856 $20K
D1110 Prophylaxis - adult 17% 297 275 $10K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 447 414 $7K
D2391 Resin-based composite - one surface, posterior, primary or permanent 11% 108 61 $7K
D0220 Intraoral - periapical first radiographic image 8.6% 580 469 $5K
D1206 Topical application of fluoride varnish 6.8% 185 171 $4K
D0230 Intraoral - periapical each additional radiographic image 3.4% 288 170 $2K
D1208 Topical application of fluoride, excluding varnish 2.8% 125 111 $2K
D0150 Comprehensive oral evaluation - new or established patient 1.8% 52 43 $1K
D0274 Bitewings - four radiographic images 1.7% 51 48 $982.80

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 officialDODSON, BEVERLY (INSURANCE DEPARTMENT MANAGER)