Dental
Summit Family Dental of Farmington, LLC
Summit Family Dental of Farmington, LLC was paid $812K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 27% of everything it billed.
33Billing provider infoSUMMIT FAMILY DENTAL OF FARMINGTON, LLC
FARMINGTON, NM 87401
FARMINGTON, NM 87401
33aNPI1427320654assigned 02/03/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$812K
24GClaims26,161
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#35 of 202
Median peer was paid$44K
This provider vs. median19×
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 | 2,617 | $94K | |
| 2019 | 4,253 | $155K | |
| 2020 | 3,884 | $127K | |
| 2021 | 5,517 | $183K | |
| 2022 | 4,268 | $114K | |
| 2023 | 3,578 | $88K | |
| 2024incomplete | 2,044 | $50K |
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 | 27% | 3,066 | 1,438 | $220K |
| D0274 | Bitewings - four radiographic images | 12% | 3,252 | 3,224 | $94K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.7% | 2,312 | 2,280 | $79K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 1,949 | 1,939 | $61K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.4% | 606 | 350 | $52K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 866 | 505 | $46K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 4,034 | 3,940 | $45K |
| D1110 | Prophylaxis - adult | 4.9% | 918 | 911 | $40K |
| D0140 | Limited oral evaluation - problem focused | 4.7% | 1,330 | 1,278 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 1,530 | 1,524 | $33K |
| D1208 | Topical application of fluoride, excluding varnish | 3.5% | 1,617 | 1,599 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 2,928 | 2,833 | $26K |
7 more codes
| D1206 | Topical application of fluoride varnish | 2.9% | 1,303 | $24K |
| D0330 | Panoramic radiographic image | 1.1% | 182 | $9K |
| D4346 | <1% | 51 | $6K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 62 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 43 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 74 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 38 | $969.77 |
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 Cortez, PLLC | Cortez, CO | $302K |
| 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.