Dental
Summit Dental Center
Summit Dental Center was paid $397K by Medicaid between Nov 2020 and Sep 2021, across 20 billing codes. Its largest line is D1351, Sealant - per tooth — 26% of everything it billed.
33Billing provider infoSUMMIT DENTAL CENTER
HOUSTON, TX 77088
HOUSTON, TX 77088
33aNPI1396804787assigned 12/08/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$397K
24GClaims21,767
24DCodes billed20
24AFirst – last monthNov 2020 – Sep 2021
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#602 of 2,774
Median peer was paid$43K
This provider vs. median9.3×
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 | |
|---|---|---|---|
| 2020 | 2,931 | $57K | |
| 2021 | 18,836 | $340K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 26% | 4,871 | 1,002 | $102K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,012 | 1,987 | $42K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 1,479 | 1,461 | $39K |
| D1110 | Prophylaxis - adult | 7.4% | 735 | 727 | $29K |
| D0145 | Oral evaluation for a patient under three years of age | 7.1% | 262 | 262 | $28K |
| D0274 | Bitewings - four radiographic images | 6.2% | 998 | 984 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 6.1% | 2,285 | 2,255 | $24K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.9% | 212 | 65 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 2,289 | 2,253 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 2,162 | 2,129 | $18K |
| D0272 | Bitewings - two radiographic images | 4.4% | 1,010 | 998 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 131 | 68 | $9K |
8 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 374 | $7K |
| D0330 | Panoramic radiographic image | 1.1% | 104 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 166 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 26 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 26 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $215.97 |
| D0603 | 0% | 2,332 | $0.00 | |
| D0602 | 0% | 280 | $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 officialLOPEZ, SUSANA (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Summit Dental Center | Houston, TX | $352K |
| Summit Dental Center | Houston, TX | $318K |
| Summit Dental Center | Pasadena, TX | $263K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.