Dental
Montana Dental Group LLC
Montana Dental Group LLC was paid $1.04M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is D4341, — 26% of everything it billed.
33Billing provider infoMONTANA DENTAL GROUP LLC
POLSON, MT 59860
POLSON, MT 59860
33aNPI1144767203assigned 01/27/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$1.04M
24GClaims17,361
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Montana
Rank by total paid#12 of 149
Median peer was paid$40K
This provider vs. median26×
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 | 2,892 | $189K | |
| 2019 | 3,209 | $216K | |
| 2020 | 3,633 | $204K | |
| 2021 | 3,645 | $217K | |
| 2022 | 2,478 | $121K | |
| 2023 | 1,335 | $84K | |
| 2024incomplete | 169 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 26% | 1,890 | 819 | $267K | |
| D0140 | Limited oral evaluation - problem focused | 11% | 3,662 | 2,885 | $111K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.2% | 781 | 449 | $96K |
| D2740 | Crown - porcelain/ceramic | 8.2% | 248 | 132 | $86K |
| D0330 | Panoramic radiographic image | 8.1% | 1,761 | 1,609 | $84K |
| D0274 | Bitewings - four radiographic images | 6.0% | 2,093 | 1,924 | $62K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.9% | 504 | 306 | $61K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 2,066 | 1,834 | $61K |
| D7140 | Extraction, erupted tooth or exposed root | 4.3% | 644 | 247 | $45K |
| D2751 | Crown - porcelain fused to predominantly base metal | 4.3% | 93 | 76 | $45K |
| D1110 | Prophylaxis - adult | 3.4% | 772 | 707 | $35K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 287 | 151 | $18K |
11 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 101 | $15K |
| D1206 | Topical application of fluoride varnish | 1.2% | 657 | $13K |
| D0120 | Dental checkup, returning patient | 1.1% | 525 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 775 | $11K |
| D5225 | <1% | 14 | $8K | |
| D1354 | <1% | 368 | $7K | |
| D4355 | <1% | 48 | $3K | |
| D2950 | <1% | 23 | $2K | |
| D4910 | <1% | 16 | $841.44 | |
| D1120 | Dental cleaning, child | <1% | 16 | $545.44 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 17 | $236.46 |
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 officialSEFCIK, BRADY (OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Wasatch Payroll LLC | Colorado Springs, CO | $529K |
| Down to Earth Dentistry, LLC. | La Junta, CO | $285K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.