BEARTOOTH PEDIATRIC DENTISTRY
NPI: 1144949231
· LAUREL, MT 59044
· Pediatric Dentist
· NPI assigned 08/23/2022
$105K
Total Medicaid Paid
Provider Details
| Authorized Official | MCELROY, KATIE (SENIOR HR MANAGER) |
| NPI Enumeration Date | 08/23/2022 |
Related Entities
Other providers sharing the same authorized official: MCELROY, KATIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
2,203 |
$53K |
| 2024 |
2,003 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
858 |
845 |
$30K |
| D1206 |
Topical application of fluoride varnish |
1,085 |
1,068 |
$24K |
| D0120 |
Periodic oral evaluation - established patient |
777 |
763 |
$20K |
| D0272 |
Bitewings - two radiographic images |
448 |
445 |
$10K |
| D0603 |
|
678 |
670 |
$7K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
113 |
112 |
$4K |
| D1310 |
|
72 |
70 |
$3K |
| D9248 |
|
16 |
15 |
$2K |
| D1330 |
|
72 |
70 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
28 |
$878.24 |
| D0330 |
Panoramic radiographic image |
20 |
20 |
$858.51 |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$438.01 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$153.48 |
| D0601 |
|
12 |
12 |
$99.61 |