Dental
Summit Family Dental of Cortez, PLLC
Summit Family Dental of Cortez, PLLC was paid $302K by Medicaid between Apr 2018 and Dec 2024, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoSUMMIT FAMILY DENTAL OF CORTEZ, PLLC
CORTEZ, CO 81321
CORTEZ, CO 81321
33aNPI1417366808assigned 08/11/2014
33bProvider typeDentist
28Total paid$302K
24GClaims7,590
24DCodes billed12
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Colorado
Rank by total paid#102 of 344
Median peer was paid$45K
This provider vs. median6.7×
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 | |
|---|---|---|---|
| 2018 | 259 | $9K | |
| 2019 | 704 | $28K | |
| 2020 | 1,480 | $68K | |
| 2021 | 2,400 | $96K | |
| 2022 | 1,790 | $69K | |
| 2023 | 872 | $30K | |
| 2024incomplete | 85 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 426 | 278 | $55K |
| D0330 | Panoramic radiographic image | 17% | 1,000 | 1,000 | $50K |
| D1110 | Prophylaxis - adult | 14% | 1,044 | 1,044 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.6% | 767 | 767 | $29K |
| D0140 | Limited oral evaluation - problem focused | 9.4% | 867 | 864 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 1,168 | 1,166 | $26K |
| D0274 | Bitewings - four radiographic images | 8.4% | 895 | 894 | $25K |
| D7140 | Extraction, erupted tooth or exposed root | 5.6% | 178 | 83 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 115 | 84 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 815 | 814 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.4% | 238 | 237 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 77 | 77 | $891.27 |
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 officialHODGES, LISA (OPERATIONS DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Beckland Dental Kids of Farmington LLC | Farmington, NM | $4.29M |
| Summit Family Dental of Farmington, LLC | Farmington, NM | $812K |
| Sundance Orthodontics LLC | Farmington, NM | $192K |
| Summit Family Dental of Bernalillo, LLC | Rio Rancho, NM | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.