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    OpenPayerNPI Medicare & MedicaidSummit Dental Health - Dundee LLC
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    Summit Dental Health - Dundee LLC — Billing Profile & Reimbursement Data

    NPI 1912315177 · Omaha, NE · General Practice Dentistry

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    Summit Dental Health - Dundee LLC is a general practice dentistry provider located in Omaha, Nebraska. This profile covers 0 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSummit Dental Health - Dundee LLC
    Address5006 Dodge St
    CityOmaha
    StateNE
    ZIP68132
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJuly 31, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0210Intraoral - complete series of radiographic images3,200$80$249.9K
    D2392Post 2 surface resin‑based composite1,740$130$225.6K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients5,490$30$186.8K
    D0150Comprehensive oral evaluation – new or established patient4,590$40$169.8K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth2,880$60$161.4K
    D0120Periodic oral evaluation - established patient4,340$40$152K
    D2740N/A210$610$127.3K
    D0274N/A5,320$10$74.5K
    D1999N/A5,840$10$58.4K
    D0330N/A4,410$10$52.9K

    Showing 1–10 of 19

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nebraska median

    19 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2740N/A520110$410$104.4K
    D1351Sealant - per tooth71130460$30$84.7K
    D2392Post 2 surface resin‑based composite24140270$80$66.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients39320460$20$62.2K
    D1120Prophylaxis–child71290320$30$61K
    D0120Periodic oral evaluation - established patient40400430$20$44.3K
    D2950N/A1220190$90$35.4K
    D2391Resin‑based composite – one surface, posterior46120150$60$33.1K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth22310220$40$28.1K
    D0210Intraoral - complete series of radiographic images3130160$50$26.8K

    Showing 1–10 of 19

    Nearby Providers

    Other providers in the same ZIP code as Summit Dental Health - Dundee LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Child Saving InstituteNEMental Health Counselor$0$1.3M
    Homaha Senior Care LLCNEGeriatric Medicine (Family Medicine) Physician$0$549.2K
    Rebecca WesterNEFamily Medicine Physician$420K$0
    YoutzNEClinical Social Worker$0$233.8K
    Carolyn ManhartNEInternal Medicine Physician$115.3K$0
    Brenda KellerNEInternal Medicine Physician$5.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Nebraska Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nebraska Distribution
    Summit Dental Health - Dundee LLC — 4 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska