Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › BELLEVUE › SUMMIT DENTAL HEALTH - TOWNE LLC

SUMMIT DENTAL HEALTH - TOWNE LLC

NPI: 1669880316 · BELLEVUE, NE 68005 · General Practice Dentistry · NPI assigned 07/25/2014

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

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

$1.60M
Total Medicaid Paid
43,820
Total Claims
36,208
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, STEVE (CFO)
NPI Enumeration Date07/25/2014

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 - E STREET LLC OMAHA NE $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 - 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 2,988 $53K
2019 3,075 $54K
2020 4,505 $96K
2021 10,048 $236K
2022 10,908 $508K
2023 7,317 $374K
2024 4,979 $279K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,920 1,039 $234K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1,778 740 $223K
D7140 Extraction, erupted tooth or exposed root 1,874 562 $219K
D0210 Intraoral - complete series of radiographic images 2,176 2,174 $158K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,027 625 $100K
D0150 Comprehensive oral evaluation - new or established patient 2,731 2,705 $97K
D1206 Topical application of fluoride varnish 3,013 2,977 $91K
D1110 Prophylaxis - adult 1,677 1,670 $85K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 390 242 $62K
D0120 Periodic oral evaluation - established patient 1,817 1,810 $58K
D0274 Bitewings - four radiographic images 3,368 3,347 $46K
D0140 Limited oral evaluation - problem focused 1,160 1,152 $45K
D1120 Prophylaxis - child 1,051 1,045 $37K
D1999 3,726 3,365 $36K
D0330 Panoramic radiographic image 2,854 2,824 $32K
D0220 Intraoral - periapical first radiographic image 5,348 5,114 $31K
D0230 Intraoral - periapical each additional radiographic image 6,960 4,071 $25K
D1351 Sealant - per tooth 264 64 $13K
D0272 Bitewings - two radiographic images 407 403 $5K
D0270 265 265 $4K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 14 14 $392.00