Dental
Summit Family Dentistry MGMT INC
Summit Family Dentistry MGMT INC was paid $200K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoSUMMIT FAMILY DENTISTRY MGMT INC
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
33aNPI1780702506assigned 03/27/2007
33bProvider typeDentist
28Total paid$200K
24GClaims25,695
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in New Jersey
Rank by total paid#155 of 674
Median peer was paid$27K
This provider vs. median7.4×
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 | |
|---|---|---|---|
| 2018 | 8,194 | $81K | |
| 2019 | 7,398 | $63K | |
| 2020 | 2,909 | $23K | |
| 2021 | 2,742 | $20K | |
| 2022 | 1,693 | $12K | |
| 2023 | 588 | $454.00 | |
| 2024incomplete | 2,171 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 5,069 | 5,057 | $46K |
| D1110 | Prophylaxis - adult | 22% | 4,283 | 4,269 | $45K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 1,117 | 644 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.4% | 834 | 562 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 1,026 | 1,023 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 948 | 947 | $10K |
| D0274 | Bitewings - four radiographic images | 4.5% | 1,933 | 1,930 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 3,971 | 3,918 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 4.2% | 535 | 533 | $8K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 582 | 571 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 3,419 | 3,394 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 1,363 | 1,361 | $5K |
7 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.9% | 141 | $4K |
| D2330 | <1% | 127 | $2K | |
| D2335 | <1% | 19 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 277 | $847.75 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 22 | $120.00 |
| D0603 | <1% | 15 | $80.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 14 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialCHERKEZ, DAVID (GENERAL MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Lafayette Family Dentistry MGMT INC | Hawthorne, NJ | $425K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.