Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMMIT DENTAL HEALTH - E STREET LLC

NPI: 1669880126 · OMAHA, NE 68107 · General Practice Dentistry · NPI assigned 07/29/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JAMES, STEVE controls 20+ related entities in our dataset. Read more

$1.99M
Total Medicaid Paid
70,057
Total Claims
61,568
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, STEVE (CFO)
NPI Enumeration Date07/29/2014

Related Entities

Other providers sharing the same authorized official: JAMES, STEVE

ProviderCityStateTotal Paid
KIDS DENTISTRY-JEFFERSON MALL,PLLC LOUISVILLE KY $9.77M
KIDS DENTISTRY-JEFFERSONVILLE, LLC JEFFERSONVILLE IN $6.37M
KIDS DENTISTRY-NEW ALBANY NEW ALBANY IN $4.61M
KIDS DENTISTREE - WESTPORT VILLAGE LOUISVILLE KY $4.19M
MORTENSON FAMILY DENTAL CENTER-VALLEY STATION LOUISVILLE KY $3.06M
ORAL SURGERY GROUP OF SOUTHERN INDIANA, LLC NEW ALBANY IN $1.99M
SUMMIT DENTAL HEALTH - BRENTWOOD LLC LA VISTA NE $1.79M
MORTENSON FAMILY DENTAL CENTER-FOREST GREEN, PLLC LOUISVILLE KY $1.77M
SUMMIT DENTAL HEALTH - DUNDEE LLC OMAHA NE $1.71M
SUMMIT DENTAL HEALTH - TOWNE LLC BELLEVUE NE $1.60M
SUMMIT DENTAL HEALTH - CENTER LLC OMAHA NE $1.28M
SUMMIT DENTAL HEALTH - OAKVIEW, LLC OMAHA NE $1.21M
MORTENSON FAMILY DENTAL CENTER LOUISVILLE KY $1.10M
MORTENSON FAMILY DENTAL CENTER - VERSAILLES, PLLC VERSAILLES KY $793K
MORTENSON FAMILY DENTAL CENTER CRESTWOOD KY $631K
MORTENSONFAMILYDENTALCENTER-BUECHEL, PLLC LOUISVILLE KY $554K
MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC ELIZABETHTOWN KY $546K
SUMMIT DENTAL HEALTH - OLD MARKET LLC OMAHA NE $543K
CHILDREN'S DENTAL CENTER OF BIG SPRING, PLLC BIG SPRING TX $481K
MORTENSON FAMILY DENTAL CENTER-SHELBYVILLE EAST SHELBYVILLE KY $443K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,568 $110K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,859 1,716 $271K
D1206 Topical application of fluoride varnish 6,891 6,610 $199K
D7140 Extraction, erupted tooth or exposed root 1,760 713 $186K
D0120 Periodic oral evaluation - established patient 5,402 5,392 $162K
D0210 Intraoral - complete series of radiographic images 2,216 2,215 $148K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,827 1,237 $146K
D1110 Prophylaxis - adult 2,808 2,801 $135K
D1351 Sealant - per tooth 4,022 864 $119K
D1120 Prophylaxis - child 3,555 3,553 $117K
D0150 Comprehensive oral evaluation - new or established patient 2,897 2,883 $98K
D0274 Bitewings - four radiographic images 5,270 5,249 $91K
D0220 Intraoral - periapical first radiographic image 9,114 8,995 $56K
D1999 5,023 4,585 $50K
D0230 Intraoral - periapical each additional radiographic image 9,529 7,995 $48K
D0140 Limited oral evaluation - problem focused 1,275 1,259 $37K
D0272 Bitewings - two radiographic images 2,203 2,202 $31K
D0330 Panoramic radiographic image 2,907 2,893 $31K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 188 142 $22K
D2950 167 159 $12K
D2740 Crown - porcelain/ceramic 29 26 $11K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 27 27 $9K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 49 27 $5K
D4341 26 12 $3K
D0145 Oral evaluation for a patient under three years of age 13 13 $444.00