Dental
Summit Oral & Maxillofacial Surgery
Summit Oral & Maxillofacial Surgery was paid $10K by Medicaid between Jun 2023 and Nov 2024, across 2 billing codes. Its largest line is D0330, Panoramic radiographic image — 54% of everything it billed.
33Billing provider infoSUMMIT ORAL & MAXILLOFACIAL SURGERY
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
33aNPI1679955017assigned 06/22/2015
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$10K
24GClaims253
24DCodes billed2
24AFirst – last monthJun 2023 – Nov 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Utah
Rank by total paid#10 of 21
Median peer was paid$6K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2023 | 182 | $7K | |
| 2024incomplete | 71 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 54% | 116 | 115 | $5K |
| D0140 | Limited oral evaluation - problem focused | 46% | 137 | 134 | $5K |
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 officialDURANT, BARBARA (COLLECTION MANAGER)