SUMMIT DENTAL HEALTH - CENTER LLC
NPI: 1275941734
· OMAHA, NE 68106
· 1223G0001X
$1.28M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
|
2,623 |
2,622 |
$198K |
| D1206 |
|
5,306 |
5,112 |
$162K |
| D2392 |
|
1,337 |
867 |
$141K |
| D1110 |
|
2,654 |
2,630 |
$137K |
| D0150 |
|
3,615 |
3,579 |
$133K |
| D0120 |
|
3,524 |
3,504 |
$106K |
| D0274 |
|
4,989 |
4,949 |
$72K |
| D2391 |
|
590 |
392 |
$66K |
| D1120 |
|
1,910 |
1,908 |
$62K |
| D0330 |
|
3,353 |
3,319 |
$40K |
| D0230 |
|
12,973 |
5,832 |
$39K |
| D1999 |
|
3,848 |
3,584 |
$38K |
| D0220 |
|
7,662 |
7,118 |
$36K |
| D0140 |
|
832 |
810 |
$34K |
| D1351 |
|
558 |
156 |
$13K |
| D0272 |
|
600 |
600 |
$7K |
| D9230 |
|
50 |
40 |
$1K |