Dental
Montana Kids Dental LLC
Montana Kids Dental LLC was paid $1.26M by Medicaid between May 2021 and Dec 2024, across 30 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoMONTANA KIDS DENTAL LLC
HELENA, MT 59602
HELENA, MT 59602
33aNPI1114501897assigned 05/10/2021
33bProvider typePediatric Dentist
28Total paid$1.26M
24GClaims40,269
24DCodes billed30
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Montana
Rank by total paid#12 of 25
Median peer was paid$1.14M
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2021 | 8,113 | $344K | |
| 2022 | 14,023 | $395K | |
| 2023 | 10,981 | $288K | |
| 2024incomplete | 7,152 | $231K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 1,358 | 759 | $176K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 3,775 | 3,630 | $131K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 4,932 | 4,709 | $119K |
| D1206 | Topical application of fluoride varnish | 9.3% | 5,536 | 5,262 | $117K |
| D1110 | Prophylaxis - adult | 7.7% | 1,939 | 1,832 | $97K |
| D0220 | Intraoral - periapical first radiographic image | 5.4% | 4,079 | 3,481 | $69K |
| D0272 | Bitewings - two radiographic images | 5.2% | 3,107 | 2,954 | $65K |
| D1351 | Sealant - per tooth | 3.8% | 1,785 | 498 | $48K |
| D0274 | Bitewings - four radiographic images | 3.8% | 1,400 | 1,332 | $47K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 652 | 425 | $45K |
| D9920 | 3.5% | 321 | 285 | $45K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 1,381 | 1,228 | $41K |
18 more codes
| D9243 | 2.9% | 156 | $36K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 3,480 | $34K |
| D0330 | Panoramic radiographic image | 2.6% | 595 | $33K |
| D1310 | 2.3% | 743 | $29K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 123 | $18K |
| D0603 | 1.4% | 1,805 | $18K | |
| D1330 | 1.3% | 738 | $17K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 244 | $16K |
| D9248 | 1.1% | 111 | $14K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 309 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 279 | $10K |
| D9630 | <1% | 412 | $6K | |
| D0602 | <1% | 636 | $6K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 112 | $4K |
| D4212 | <1% | 30 | $3K | |
| D0601 | <1% | 187 | $2K | |
| D4355 | <1% | 20 | $1K | |
| D0425 | <1% | 24 | $1K |
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 officialJENKINS, JOSHUA (OWNER)