MONTANA FAMILY DENTISTRY
NPI: 1023474285
· LEWISTOWN, MT 59457
· 122300000X
$1.36M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
3,210 |
$135K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1354 |
|
12,641 |
1,383 |
$272K |
| D0367 |
|
750 |
722 |
$203K |
| D2392 |
|
1,504 |
550 |
$181K |
| D1110 |
|
2,194 |
2,146 |
$112K |
| D1206 |
|
4,051 |
3,858 |
$82K |
| D0274 |
|
2,078 |
2,008 |
$70K |
| D0330 |
|
1,261 |
1,200 |
$67K |
| D0120 |
|
2,573 |
2,471 |
$63K |
| D2393 |
|
335 |
183 |
$54K |
| D2740 |
|
84 |
68 |
$53K |
| D2751 |
|
87 |
55 |
$40K |
| D2391 |
|
621 |
262 |
$38K |
| D1120 |
|
933 |
857 |
$31K |
| D0150 |
|
810 |
760 |
$26K |
| D2950 |
|
219 |
150 |
$24K |
| D0140 |
|
391 |
365 |
$13K |
| D0220 |
|
586 |
379 |
$9K |
| D1351 |
|
198 |
37 |
$5K |
| D7140 |
|
54 |
14 |
$4K |
| D9920 |
|
17 |
15 |
$4K |
| D1320 |
|
69 |
67 |
$2K |
| D0272 |
|
119 |
106 |
$2K |
| D1310 |
|
40 |
36 |
$1K |
| D1330 |
|
52 |
48 |
$1K |
| D1999 |
|
80 |
70 |
$153.00 |