Dental
Montana Dental, PLLC
Montana Dental, PLLC was paid $8.83M by Medicaid between Aug 2018 and Dec 2024, across 26 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 25% of everything it billed.
33Billing provider infoMONTANA DENTAL, PLLC
EL PASO, TX 79903
EL PASO, TX 79903
33aNPI1164783262assigned 06/05/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$8.83M
24GClaims266,178
24DCodes billed26
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#12 of 2,774
Median peer was paid$43K
This provider vs. median207×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official EVANS, EVERETT controls 20+ related entities in our dataset. Read more
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 | 92 | $1K | |
| 2019 | 971 | $31K | |
| 2020 | 9,514 | $283K | |
| 2021 | 82,038 | $2.86M | |
| 2022 | 68,229 | $2.15M | |
| 2023 | 56,278 | $1.66M | |
| 2024incomplete | 49,056 | $1.84M |
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 | 25% | 22,379 | 6,570 | $2.19M |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 7,300 | 7,199 | $995K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.9% | 10,479 | 3,310 | $788K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 26,499 | 26,061 | $738K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.1% | 17,639 | 17,354 | $624K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.9% | 3,831 | 863 | $525K |
| D1110 | Prophylaxis - adult | 5.5% | 9,248 | 9,079 | $486K |
| D1208 | Topical application of fluoride, excluding varnish | 4.4% | 27,092 | 26,632 | $385K |
| D1351 | Sealant - per tooth | 4.1% | 13,841 | 3,295 | $365K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 29,867 | 22,209 | $325K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 24,289 | 23,688 | $291K |
| D0274 | Bitewings - four radiographic images | 3.2% | 8,480 | 8,337 | $281K |
14 more codes
| D0272 | Bitewings - two radiographic images | 2.9% | 14,712 | $257K |
| D0330 | Panoramic radiographic image | 1.7% | 4,059 | $149K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 3,825 | $99K |
| D9248 | 1.0% | 854 | $92K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,198 | $80K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 548 | $43K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,116 | $36K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 279 | $27K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,276 | $22K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 237 | $11K |
| D1206 | Topical application of fluoride varnish | <1% | 598 | $8K |
| D2330 | <1% | 104 | $8K | |
| D7111 | <1% | 396 | $4K | |
| D0603 | <1% | 36,032 | $0.96 |
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 officialEVANS, EVERETT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Carrier Dental, PLLC | Grand Prairie, TX | $8.13M |
| Smile Magic of El Paso PLLC | El Paso, TX | $8.00M |
| Smile Magic of Lewisville, PLLC | Lewisville, TX | $7.29M |
| Smile Magic of Garland, PLLC | Garland, TX | $7.04M |
| Nolana Smiles, PLLC | Mcallen, TX | $5.61M |
| Smile Magic of Denton, PLLC | Denton, TX | $4.91M |
| Kingsville Dental PLLC | Kingsville, TX | $4.75M |
| Palestine Dental PLLC | Palestine, TX | $3.29M |
| Lowes Boulevard Family Dentistry, PLLC | Killeen, TX | $3.13M |
| Huntsville Dental PLLC | Huntsville, TX | $2.74M |
| Nacogdoches Dental PLLC | Nacogdoches, TX | $2.70M |
| Carmel Village Family Dentistry, PLLC | Corpus Christi, TX | $2.62M |
| Grandbury Dental , PLLC | Granbury, TX | $2.41M |
| San Dario Dentistry, PLLC | Laredo, TX | $1.92M |
| Beaumont Dental PLLC | Beaumont, TX | $1.87M |
| Mineral Wells, PLLC | Mineral Wells, TX | $1.82M |
| Brownwood Dental PLLS | Brownwood, TX | $1.72M |
| Dyer Family Dentistry, PLLC | El Paso, TX | $1.57M |
| Family Smiles of Greenville, PLLC | Greenville, TX | $1.53M |
| Burleson Dental, PLLC | Burleson, TX | $1.45M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.