Dental
Summit Smiles Pediatric Dentistry, LLC
Summit Smiles Pediatric Dentistry, LLC was paid $360K by Medicaid between May 2020 and Dec 2024, across 18 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.
33Billing provider infoSUMMIT SMILES PEDIATRIC DENTISTRY, LLC
VESTAVIA, AL 35243
VESTAVIA, AL 35243
33aNPI1629602529assigned 02/28/2020
33bProvider typePediatric Dentist
28Total paid$360K
24GClaims15,621
24DCodes billed18
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Alabama
Rank by total paid#75 of 111
Median peer was paid$708K
This provider vs. median0.5×
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 | 1,767 | $28K | |
| 2021 | 3,187 | $69K | |
| 2022 | 4,071 | $110K | |
| 2023 | 3,560 | $83K | |
| 2024incomplete | 3,036 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 801 | 142 | $70K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 2,683 | 2,551 | $65K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 2,491 | 2,373 | $47K |
| D1206 | Topical application of fluoride varnish | 10% | 1,621 | 1,569 | $38K |
| D1999 | 10% | 2,243 | 1,977 | $37K | |
| D0272 | Bitewings - two radiographic images | 4.4% | 1,090 | 1,004 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 1,163 | 1,076 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 379 | 361 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 441 | 401 | $10K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 314 | 304 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 922 | 863 | $9K |
| D0240 | 2.4% | 630 | 290 | $9K |
6 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 109 | $9K |
| D0330 | Panoramic radiographic image | 1.9% | 158 | $7K |
| D1110 | Prophylaxis - adult | 1.1% | 101 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 400 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 47 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 28 | $554.40 |
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 officialGUNNELS, SEAN (PEDIATRIC DENTIST (PEDODONTIST))