PROSMILES OF MONTANA, LLC
NPI: 1043854029
· BOZEMAN, MT 59718
· 122300000X
$339K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
68 |
$995.33 |
| 2020 |
4,179 |
$83K |
| 2021 |
15,535 |
$254K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
|
2,560 |
2,471 |
$52K |
| D1351 |
|
1,826 |
398 |
$45K |
| D1353 |
|
1,402 |
360 |
$38K |
| D1354 |
|
1,700 |
418 |
$37K |
| D1120 |
|
991 |
958 |
$34K |
| D0120 |
|
1,033 |
1,002 |
$24K |
| D9996 |
|
965 |
932 |
$24K |
| D9992 |
|
750 |
727 |
$21K |
| D0190 |
|
686 |
670 |
$16K |
| D0191 |
|
804 |
783 |
$14K |
| D0274 |
|
323 |
317 |
$11K |
| D1110 |
|
177 |
171 |
$9K |
| D1320 |
|
207 |
197 |
$6K |
| D0350 |
|
166 |
161 |
$5K |
| D1999 |
|
1,780 |
1,730 |
$1K |
| D9995 |
|
15 |
13 |
$457.40 |
| D1310 |
|
2,191 |
2,127 |
$0.00 |
| D1330 |
|
2,206 |
2,143 |
$0.00 |