Gannon, Molly

Gannon, Molly was paid $10K by Medicaid between Jan 2018 and Aug 2022, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 83% of everything it billed.

33Billing provider infoGANNON, MOLLY
HAMILTON, MT 59840

33aNPI1083791784assigned 11/01/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$10K

24GClaims300

24DCodes billed3

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other General Practice Dentistry providers in Montana

Rank by total paid#107 of 149

Median peer was paid$40K

This provider vs. median0.3×

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	95	$3K
2019	76	$2K
2020	104	$4K
2021	13	$382.60
2022	12	$438.70

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	83%	247	237	$8K
D1206	Topical application of fluoride varnish	9.6%	41	41	$947.29
D1110	Prophylaxis - adult	7.8%	12	12	$771.42

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.