Dental
Montana Family Dentistry
Montana Family Dentistry was paid $1.36M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D1354, — 20% of everything it billed.
33Billing provider infoMONTANA FAMILY DENTISTRY
LEWISTOWN, MT 59457
LEWISTOWN, MT 59457
33aNPI1023474285assigned 01/04/2016
33bProvider typeDentist
28Total paid$1.36M
24GClaims31,747
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Montana
Rank by total paid#2 of 95
Median peer was paid$38K
This provider vs. median35×
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 | 4,619 | $250K | |
| 2019 | 2,823 | $149K | |
| 2020 | 3,932 | $184K | |
| 2021 | 5,565 | $215K | |
| 2022 | 5,686 | $193K | |
| 2023 | 5,912 | $230K | |
| 2024incomplete | 3,210 | $135K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1354 | 20% | 12,641 | 1,383 | $272K | |
| D0367 | 15% | 750 | 722 | $203K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 1,504 | 550 | $181K |
| D1110 | Prophylaxis - adult | 8.2% | 2,194 | 2,146 | $112K |
| D1206 | Topical application of fluoride varnish | 6.1% | 4,051 | 3,858 | $82K |
| D0274 | Bitewings - four radiographic images | 5.1% | 2,078 | 2,008 | $70K |
| D0330 | Panoramic radiographic image | 4.9% | 1,261 | 1,200 | $67K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 2,573 | 2,471 | $63K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.0% | 335 | 183 | $54K |
| D2740 | Crown - porcelain/ceramic | 3.9% | 84 | 68 | $53K |
| D2751 | Crown - porcelain fused to predominantly base metal | 3.0% | 87 | 55 | $40K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 621 | 262 | $38K |
13 more codes
| D1120 | Dental cleaning, child | 2.3% | 933 | $31K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 810 | $26K |
| D2950 | 1.8% | 219 | $24K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 391 | $13K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 586 | $9K |
| D1351 | Sealant - per tooth | <1% | 198 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 54 | $4K |
| D9920 | <1% | 17 | $4K | |
| D1320 | <1% | 69 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 119 | $2K |
| D1310 | <1% | 40 | $1K | |
| D1330 | <1% | 52 | $1K | |
| D1999 | <1% | 80 | $153.00 |
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 officialHOLECEK, DAVID (DENTIST)