Dental
Summer Dental Shawnee PLLC
Summer Dental Shawnee PLLC was paid $2.58M by Medicaid between Aug 2021 and Dec 2024, across 35 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 29% of everything it billed.
33Billing provider infoSUMMER DENTAL SHAWNEE PLLC
SHAWNEE, OK 74804
SHAWNEE, OK 74804
33aNPI1548834872assigned 05/20/2021
33bProvider typeDentist
28Total paid$2.58M
24GClaims33,949
24DCodes billed35
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Oklahoma
Rank by total paid#12 of 150
Median peer was paid$154K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2021 | 392 | $19K | |
| 2022 | 7,642 | $592K | |
| 2023 | 12,951 | $1.12M | |
| 2024incomplete | 12,964 | $848K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 29% | 6,088 | 957 | $758K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12% | 1,945 | 839 | $313K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 2,554 | 1,060 | $309K |
| D5214 | 8.3% | 218 | 218 | $215K | |
| D5213 | 4.7% | 124 | 124 | $121K | |
| D0330 | Panoramic radiographic image | 4.3% | 2,303 | 2,195 | $112K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 2,664 | 2,502 | $80K |
| D2394 | 2.7% | 417 | 227 | $71K | |
| D1110 | Prophylaxis - adult | 2.2% | 1,250 | 1,201 | $57K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 3,582 | 3,443 | $55K |
| D0274 | Bitewings - four radiographic images | 2.1% | 1,734 | 1,657 | $54K |
| D5130 | 1.8% | 54 | 54 | $46K |
23 more codes
| D5110 | 1.8% | 57 | $45K | |
| D1206 | Topical application of fluoride varnish | 1.7% | 2,411 | $43K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 620 | $39K |
| D2332 | 1.4% | 324 | $37K | |
| D7310 | 1.1% | 223 | $30K | |
| D1120 | Dental cleaning, child | 1.0% | 895 | $27K |
| D5120 | <1% | 30 | $24K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 803 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,055 | $24K |
| D0120 | Dental checkup, returning patient | <1% | 830 | $17K |
| D2335 | <1% | 110 | $14K | |
| D5140 | <1% | 13 | $11K | |
| D5410 | <1% | 283 | $10K | |
| D0272 | Bitewings - two radiographic images | <1% | 528 | $9K |
| D5411 | <1% | 226 | $8K | |
| D1354 | <1% | 109 | $8K | |
| D2331 | <1% | 93 | $8K | |
| D0350 | <1% | 138 | $4K | |
| D1351 | Sealant - per tooth | <1% | 144 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 68 | $2K |
| D1320 | <1% | 29 | $913.08 | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 13 | $861.38 |
| D5422 | <1% | 14 | $559.92 |
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 officialYATES, MIKE (COO)
| Provider | Location | Paid |
|---|---|---|
| Summer Dental Macarthur PLLC | Oklahoma City, OK | $784K |
| Cottonwood Dental Kellogg, P.A. | Wichita, KS | $292K |
| Baxter Springs Family Dentistry PA | Baxter Springs, KS | $237K |
| Rio Dental, P.A. | Wichita, KS | $111K |
| Sdpmwc, PLLC | Midwest City, OK | $13K |
| Tulsa Prosth PLLC | Tulsa, OK | $998.56 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.