Medicaid Provider Spending

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

SUMMIT DENTAL HEALTH - CENTER LLC

NPI: 1275941734 · OMAHA, NE 68106 · General Practice Dentistry · NPI assigned 07/29/2014

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

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

$1.28M
Total Medicaid Paid
56,424
Total Claims
47,022
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, STEVE (CFO)
NPI Enumeration Date07/29/2014

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 - 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
SUMMIT DENTAL HEALTH - OLD MARKET LLC OMAHA NE $543K
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 9,194 $133K
2019 7,770 $114K
2020 5,331 $84K
2021 9,168 $148K
2022 8,330 $246K
2023 7,518 $278K
2024 9,113 $281K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 2,623 2,622 $198K
D1206 Topical application of fluoride varnish 5,306 5,112 $162K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,337 867 $141K
D1110 Prophylaxis - adult 2,654 2,630 $137K
D0150 Comprehensive oral evaluation - new or established patient 3,615 3,579 $133K
D0120 Periodic oral evaluation - established patient 3,524 3,504 $106K
D0274 Bitewings - four radiographic images 4,989 4,949 $72K
D2391 Resin-based composite - one surface, posterior, primary or permanent 590 392 $66K
D1120 Prophylaxis - child 1,910 1,908 $62K
D0330 Panoramic radiographic image 3,353 3,319 $40K
D0230 Intraoral - periapical each additional radiographic image 12,973 5,832 $39K
D1999 3,848 3,584 $38K
D0220 Intraoral - periapical first radiographic image 7,662 7,118 $36K
D0140 Limited oral evaluation - problem focused 832 810 $34K
D1351 Sealant - per tooth 558 156 $13K
D0272 Bitewings - two radiographic images 600 600 $7K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 50 40 $1K