Dental
Havre Pediatric Dentistry
Havre Pediatric Dentistry was paid $767K by Medicaid between Nov 2020 and Dec 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoHAVRE PEDIATRIC DENTISTRY
HAVRE, MT 59501
HAVRE, MT 59501
33aNPI1124626262assigned 10/12/2020
33bProvider typePediatric Dentist
28Total paid$767K
24GClaims32,036
24DCodes billed15
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Montana
Rank by total paid#14 of 25
Median peer was paid$1.14M
This provider vs. median0.7×
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 | 82 | $2K | |
| 2021 | 6,594 | $162K | |
| 2022 | 7,718 | $199K | |
| 2023 | 9,320 | $206K | |
| 2024incomplete | 8,322 | $197K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 5,805 | 5,220 | $193K |
| D1206 | Topical application of fluoride varnish | 18% | 7,025 | 6,299 | $139K |
| D1310 | 15% | 3,140 | 2,813 | $114K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 4,249 | 3,844 | $102K |
| D1330 | 8.7% | 3,138 | 2,811 | $67K | |
| D0272 | Bitewings - two radiographic images | 4.5% | 1,660 | 1,474 | $34K |
| D0603 | 4.2% | 3,351 | 3,020 | $32K | |
| D9630 | 3.8% | 2,075 | 1,814 | $29K | |
| D0145 | Oral evaluation for a patient under three years of age | 2.4% | 533 | 493 | $18K |
| D1320 | 2.3% | 502 | 446 | $18K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 269 | 253 | $10K |
| D1110 | Prophylaxis - adult | <1% | 65 | 60 | $3K |
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 officialRENCHER, KEVIN (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Great Falls Pediatric Dentistry, LLC | Great Falls, MT | $14.79M |
| Pediatric Dentistry PC | Helena, MT | $9.98M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.