Larsen Family Dentistry, P.C.

Larsen Family Dentistry, P.C. was paid $2K by Medicaid between Mar 2018 and Sep 2019, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 44% of everything it billed.

33Billing provider infoLARSEN FAMILY DENTISTRY, P.C.
JACKSON, WY 83001

33aNPI1205010287assigned 12/26/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims98

24DCodes billed3

24AFirst – last monthMar 2018 – Sep 2019

Compared with peers

Next to other General Practice Dentistry providers in Wyoming

Rank by total paid#42 of 64

Median peer was paid$6K

This provider vs. median0.3×

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	72	$1K
2019	26	$527.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	44%	27	27	$832.00
D1206	Topical application of fluoride varnish	29%	58	58	$550.00
D1110	Prophylaxis - adult	27%	13	13	$500.00

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 officialLARSEN, SCOTT (DENTIST)