Dental
Mountain Peak Dental
Mountain Peak Dental was paid $31K by Medicaid between Jan 2018 and Jun 2023, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 68% of everything it billed.
33Billing provider infoMOUNTAIN PEAK DENTAL
HAMILTON, MT 59840
HAMILTON, MT 59840
33aNPI1023401312assigned 03/10/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$31K
24GClaims811
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other General Practice Dentistry providers in Montana
Rank by total paid#82 of 149
Median peer was paid$40K
This provider vs. median0.8×
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 | 52 | $1K | |
| 2019 | 119 | $4K | |
| 2020 | 182 | $7K | |
| 2021 | 248 | $10K | |
| 2022 | 165 | $7K | |
| 2023 | 45 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 68% | 416 | 397 | $21K |
| D1206 | Topical application of fluoride varnish | 16% | 237 | 229 | $5K |
| D0274 | Bitewings - four radiographic images | 7.2% | 70 | 68 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.9% | 76 | 75 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.6% | 12 | 12 | $510.57 |
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 officialDAVIDSON, JEFFREY (OWNER)