Dental
Gillette Pediatric Dentistry LLC
Gillette Pediatric Dentistry LLC was paid $2.85M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 17% of everything it billed.
33Billing provider infoGILLETTE PEDIATRIC DENTISTRY LLC
SHERIDAN, WY 82801
SHERIDAN, WY 82801
33aNPI1013289966assigned 02/07/2012
33bProvider typePediatric Dentist
28Total paid$2.85M
24GClaims87,102
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Wyoming
Rank by total paid#3 of 16
Median peer was paid$454K
This provider vs. median6.3×
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 | 6,587 | $225K | |
| 2019 | 8,870 | $310K | |
| 2020 | 8,370 | $261K | |
| 2021 | 14,763 | $398K | |
| 2022 | 15,249 | $454K | |
| 2023 | 17,223 | $611K | |
| 2024incomplete | 16,040 | $592K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 17% | 14,029 | 13,558 | $476K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 12,358 | 11,919 | $417K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 11,931 | 11,510 | $379K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 3,585 | 1,663 | $327K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.5% | 2,417 | 1,155 | $186K |
| D1351 | Sealant - per tooth | 6.4% | 6,738 | 2,001 | $182K |
| D1110 | Prophylaxis - adult | 5.7% | 3,303 | 3,199 | $163K |
| D0272 | Bitewings - two radiographic images | 5.2% | 9,820 | 9,481 | $147K |
| D0330 | Panoramic radiographic image | 4.3% | 2,255 | 2,193 | $123K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 6,244 | 6,015 | $95K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 2,256 | 2,226 | $79K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 3,126 | 2,947 | $74K |
10 more codes
| D0274 | Bitewings - four radiographic images | 2.5% | 3,317 | $70K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 3,610 | $53K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.5% | 297 | $43K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 298 | $21K |
| D1330 | <1% | 1,281 | $7K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 107 | $5K |
| D9248 | <1% | 37 | $4K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $429.00 |
| D1310 | <1% | 12 | $107.25 | |
| D1999 | 0% | 69 | $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 officialBAILEY, DAVID (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Bighorn Pediatric Dentistry | Sheridan, WY | $873K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.