Dental
Summit Dental Care Paul, PLLC
Summit Dental Care Paul, PLLC was paid $16K by Medicaid between Nov 2019 and Oct 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 99% of everything it billed.
33Billing provider infoSUMMIT DENTAL CARE PAUL, PLLC
PAUL, ID 83347
PAUL, ID 83347
33aNPI1346789534assigned 02/21/2017
33bProvider typeDentist
28Total paid$16K
24GClaims538
24DCodes billed6
24AFirst – last monthNov 2019 – Oct 2024
Compared with peers
Next to other Dentist providers in Idaho
Rank by total paid#45 of 89
Median peer was paid$16K
This provider vs. median1.0×
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 | 25 | $0.00 | |
| 2020 | 24 | $1K | |
| 2021 | 149 | $5K | |
| 2022 | 180 | $6K | |
| 2023 | 96 | $3K | |
| 2024incomplete | 64 | $32.22 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 99% | 195 | 194 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 211 | 211 | $131.01 |
| D1206 | Topical application of fluoride varnish | 0% | 56 | 56 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 23 | 13 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 38 | 38 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 15 | 15 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialFRAME, ALISA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Summit Dental Care Group, PLLC | Twin Falls, ID | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.