Dental
Summit Smiles PLLC
Summit Smiles PLLC was paid $1.05M by Medicaid between Oct 2023 and Dec 2024, across 20 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 52% of everything it billed.
33Billing provider infoSUMMIT SMILES PLLC
COLORADO SPRINGS, CO 80917
COLORADO SPRINGS, CO 80917
33aNPI1568175222assigned 12/27/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$1.05M
24GClaims8,482
24DCodes billed20
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#82 of 521
Median peer was paid$53K
This provider vs. median20×
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 | 1,198 | $64K | |
| 2024incomplete | 7,284 | $982K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 52% | 743 | 388 | $541K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.2% | 622 | 390 | $86K |
| D1110 | Prophylaxis - adult | 7.0% | 1,131 | 1,127 | $73K |
| D2950 | 6.3% | 493 | 281 | $66K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 483 | 327 | $52K |
| D7140 | Extraction, erupted tooth or exposed root | 3.5% | 341 | 101 | $36K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.4% | 1,224 | 1,219 | $35K |
| D0210 | Intraoral - complete series of radiographic images | 3.4% | 423 | 423 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 729 | 725 | $35K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 456 | 445 | $19K |
| D0274 | Bitewings - four radiographic images | 1.5% | 509 | 506 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 820 | 804 | $11K |
8 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 60 | $10K |
| D4342 | <1% | 44 | $8K | |
| D4341 | <1% | 28 | $7K | |
| D4910 | <1% | 75 | $6K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 208 | $4K |
| D2331 | <1% | 21 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 57 | $2K |
| D4346 | <1% | 15 | $704.25 |
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 | Pueblo, CO | $377K |
| 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.