Summit Dental Health - E Street LLC
Summit Dental Health - E Street LLC was paid $1.99M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
OMAHA, NE 68107
Next to other General Practice Dentistry providers in Nebraska
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,156 | $306K | |
| 2019 | 12,616 | $270K | |
| 2020 | 9,118 | $212K | |
| 2021 | 10,240 | $226K | |
| 2022 | 10,648 | $403K | |
| 2023 | 9,711 | $460K | |
| 2024incomplete | 3,568 | $110K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 2,859 | 1,716 | $271K |
| D1206 | Topical application of fluoride varnish | 10.0% | 6,891 | 6,610 | $199K |
| D7140 | Extraction, erupted tooth or exposed root | 9.4% | 1,760 | 713 | $186K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 5,402 | 5,392 | $162K |
| D0210 | Intraoral - complete series of radiographic images | 7.5% | 2,216 | 2,215 | $148K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.4% | 1,827 | 1,237 | $146K |
| D1110 | Prophylaxis - adult | 6.8% | 2,808 | 2,801 | $135K |
| D1351 | Sealant - per tooth | 6.0% | 4,022 | 864 | $119K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.9% | 3,555 | 3,553 | $117K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 2,897 | 2,883 | $98K |
| D0274 | Bitewings - four radiographic images | 4.6% | 5,270 | 5,249 | $91K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 9,114 | 8,995 | $56K |
12 more codes
| D1999 | 2.5% | 5,023 | $50K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 9,529 | $48K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 1,275 | $37K |
| D0272 | Bitewings - two radiographic images | 1.6% | 2,203 | $31K |
| D0330 | Panoramic radiographic image | 1.6% | 2,907 | $31K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 188 | $22K |
| D2950 | <1% | 167 | $12K | |
| D2740 | Crown - porcelain/ceramic | <1% | 29 | $11K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 27 | $9K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 49 | $5K |
| D4341 | <1% | 26 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 13 | $444.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.