Clinic
Summit Family Dental
Summit Family Dental was paid $37K by Medicaid between Sep 2019 and Apr 2021, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoSUMMIT FAMILY DENTAL
NORTH CHESTERFIELD, VA 23235
NORTH CHESTERFIELD, VA 23235
33aNPI1316506389assigned 06/12/2019
33bProvider typeDental Clinic/Center
28Total paid$37K
24GClaims1,277
24DCodes billed12
24AFirst – last monthSep 2019 – Apr 2021
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#80 of 142
Median peer was paid$75K
This provider vs. median0.5×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 84 | $3K | |
| 2020 | 625 | $18K | |
| 2021 | 568 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 259 | 252 | $12K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 15% | 177 | 162 | $6K |
| D0274 | Bitewings - four radiographic images | 12% | 173 | 172 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 204 | 203 | $4K |
| D1206 | Topical application of fluoride varnish | 11% | 194 | 193 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.8% | 37 | 26 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 16 | 13 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 38 | 26 | $814.06 |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 78 | 57 | $614.90 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 68 | 49 | $547.82 |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 13 | 13 | $501.49 |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 20 | 20 | $415.80 |
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 officialHUNT, LEEANN (PRACTICE MANAGER)