Dental
Summit Smiles PLLC
Summit Smiles PLLC was paid $377K by Medicaid between Nov 2023 and Dec 2024, across 14 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 68% of everything it billed.
33Billing provider infoSUMMIT SMILES PLLC
PUEBLO, CO 81001
PUEBLO, CO 81001
33aNPI1376256032assigned 12/27/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$377K
24GClaims2,782
24DCodes billed14
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#139 of 521
Median peer was paid$53K
This provider vs. median7.2×
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 | |
|---|---|---|---|
| 2023 | 226 | $10K | |
| 2024incomplete | 2,556 | $367K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 68% | 382 | 164 | $256K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 434 | 73 | $43K |
| D1110 | Prophylaxis - adult | 4.8% | 272 | 271 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 271 | 271 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.0% | 397 | 393 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 66 | 42 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 484 | 478 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 44 | 29 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 161 | 160 | $4K |
| D0330 | Panoramic radiographic image | <1% | 60 | 60 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 78 | 77 | $3K |
| D2950 | <1% | 19 | 12 | $3K |
2 more codes
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 officialORGANISTA, JENNY (DIRECTOR OF RCM)
Parent organizationSUMMIT SMILES PLLC
| Provider | Location | Paid |
|---|---|---|
| Summit Smiles PLLC | Colorado Springs, CO | $1.05M |
| Associates in Maxillofacial and Oral Surgery, PLLC | Colorado Springs, CO | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.