Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ID › Twin Falls › NPI 1871753608
Dental

Summit Dental Care Group, PLLC

Summit Dental Care Group, PLLC was paid $1K by Medicaid between Jan 2018 and Apr 2018, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 95% of everything it billed.

33Billing provider infoSUMMIT DENTAL CARE GROUP, PLLC
TWIN FALLS, ID 83301
33aNPI1871753608assigned 06/16/2008
28Total paid$1K
24GClaims185
24DCodes billed3
24AFirst – last monthJan 2018 – Apr 2018
Compared with peers

Next to other General Practice Dentistry providers in Idaho

Rank by total paid#145 of 173
Median peer was paid$22K
This provider vs. median0.1×

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

$0$250$500$7502018201920202021202220232024
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
YearClaimsPaid
2018185$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 95% 27 27 $1K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.0% 92 92 $69.43
D1206 Topical application of fluoride varnish 0% 66 66 $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 officialFRAME, ALISA (PRACTICE ADMINISTRATOR)
Same official

Other billing entities under FRAME, ALISA

Full network →
ProviderLocationPaid
Summit Dental Care Paul, PLLCPaul, ID$16K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.