Stevens Dental Group, PC

Stevens Dental Group, PC was paid $28K by Medicaid between Mar 2018 and Oct 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 50% of everything it billed.

33Billing provider infoSTEVENS DENTAL GROUP, PC
PLENTYWOOD, MT 59254

33aNPI1235396383assigned 05/16/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$28K

24GClaims1,107

24DCodes billed6

24AFirst – last monthMar 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Montana

Rank by total paid#84 of 149

Median peer was paid$40K

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
2018	314	$8K
2019	288	$8K
2020	115	$4K
2021	46	$1K
2022	126	$4K
2023	99	$2K
2024incomplete	119	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	50%	664	551	$14K
D1110	Prophylaxis - adult	17%	100	89	$5K
D1120	Dental cleaning, childProphylaxis - child	16%	123	119	$5K
D1206	Topical application of fluoride varnish	14%	195	191	$4K
D0274	Bitewings - four radiographic images	1.9%	13	13	$536.92
D0272	Bitewings - two radiographic images	1.1%	12	12	$306.04

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 officialSTEVENS, MONTE (OWNER)