SUMMIT DENTAL HEALTH - TOWNE LLC
NPI: 1669880316
· BELLEVUE, NE 68005
· 1223G0001X
$1.60M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,920 |
1,039 |
$234K |
| D7210 |
|
1,778 |
740 |
$223K |
| D7140 |
|
1,874 |
562 |
$219K |
| D0210 |
|
2,176 |
2,174 |
$158K |
| D2391 |
|
1,027 |
625 |
$100K |
| D0150 |
|
2,731 |
2,705 |
$97K |
| D1206 |
|
3,013 |
2,977 |
$91K |
| D1110 |
|
1,677 |
1,670 |
$85K |
| D2393 |
|
390 |
242 |
$62K |
| D0120 |
|
1,817 |
1,810 |
$58K |
| D0274 |
|
3,368 |
3,347 |
$46K |
| D0140 |
|
1,160 |
1,152 |
$45K |
| D1120 |
|
1,051 |
1,045 |
$37K |
| D1999 |
|
3,726 |
3,365 |
$36K |
| D0330 |
|
2,854 |
2,824 |
$32K |
| D0220 |
|
5,348 |
5,114 |
$31K |
| D0230 |
|
6,960 |
4,071 |
$25K |
| D1351 |
|
264 |
64 |
$13K |
| D0272 |
|
407 |
403 |
$5K |
| D0270 |
|
265 |
265 |
$4K |
| D9230 |
|
14 |
14 |
$392.00 |