SUMMIT DENTAL HEALTH - DUNDEE LLC
NPI: 1912315177
· OMAHA, NE 68132
· 1223G0001X
$1.71M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,263 |
$68K |
| 2019 |
5,192 |
$84K |
| 2020 |
4,030 |
$70K |
| 2021 |
9,951 |
$184K |
| 2022 |
12,903 |
$484K |
| 2023 |
9,057 |
$374K |
| 2024 |
8,786 |
$446K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
|
3,204 |
3,202 |
$250K |
| D2392 |
|
1,735 |
1,078 |
$225K |
| D1206 |
|
5,494 |
5,396 |
$185K |
| D0150 |
|
4,588 |
4,555 |
$169K |
| D1110 |
|
2,883 |
2,871 |
$162K |
| D0120 |
|
4,342 |
4,330 |
$151K |
| D2740 |
|
210 |
168 |
$127K |
| D0274 |
|
5,319 |
5,290 |
$75K |
| D1999 |
|
5,841 |
5,339 |
$57K |
| D0330 |
|
4,410 |
4,380 |
$51K |
| D1120 |
|
1,296 |
1,294 |
$47K |
| D0230 |
|
7,217 |
2,499 |
$41K |
| D2393 |
|
195 |
131 |
$37K |
| D0220 |
|
5,688 |
5,253 |
$35K |
| D2391 |
|
278 |
183 |
$30K |
| D0140 |
|
793 |
763 |
$29K |
| D1351 |
|
427 |
84 |
$25K |
| D2950 |
|
100 |
84 |
$13K |
| D0272 |
|
162 |
162 |
$2K |