Dental
The Vine Kids Dental
The Vine Kids Dental was paid $115K by Medicaid between Feb 2020 and Dec 2022, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoTHE VINE KIDS DENTAL
BOZEMAN, MT 59715
BOZEMAN, MT 59715
33aNPI1073073268assigned 03/22/2019
33bProvider typePediatric Dentist
28Total paid$115K
24GClaims4,817
24DCodes billed13
24AFirst – last monthFeb 2020 – Dec 2022
Compared with peers
Next to other Pediatric Dentist providers in Montana
Rank by total paid#19 of 25
Median peer was paid$1.14M
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 517 | $11K | |
| 2021 | 1,748 | $41K | |
| 2022 | 2,552 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 855 | 814 | $32K |
| D1206 | Topical application of fluoride varnish | 24% | 1,270 | 1,045 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 409 | 398 | $13K |
| D1310 | 9.7% | 314 | 306 | $11K | |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 426 | 396 | $8K |
| D1330 | 6.0% | 326 | 317 | $7K | |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 469 | 276 | $5K |
| D9630 | 2.9% | 209 | 197 | $3K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 86 | 82 | $3K |
| D0272 | Bitewings - two radiographic images | 2.1% | 111 | 107 | $2K |
| D0603 | 1.6% | 164 | 164 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 26 | 25 | $1K |
1 more codes
| D1999 | <1% | 152 | $71.40 |
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 officialYOCHIM, JI MIN (PRESIDENT)