HELENA FAMILY DENTISTRY, PLLC
NPI: 1245703917
· HELENA, MT 59601
· General Practice Dentistry
· NPI assigned 01/05/2019
$180K
Total Medicaid Paid
Provider Details
| Authorized Official | WELCH, MICHAEL (CEO) |
| NPI Enumeration Date | 01/05/2019 |
Related Entities
Other providers sharing the same authorized official: WELCH, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,231 |
$39K |
| 2020 |
1,144 |
$36K |
| 2021 |
1,054 |
$32K |
| 2022 |
844 |
$26K |
| 2023 |
851 |
$28K |
| 2024 |
630 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,354 |
1,320 |
$69K |
| D0120 |
Periodic oral evaluation - established patient |
1,628 |
1,594 |
$40K |
| D1206 |
Topical application of fluoride varnish |
1,305 |
1,269 |
$27K |
| D0140 |
Limited oral evaluation - problem focused |
457 |
447 |
$16K |
| D0272 |
Bitewings - two radiographic images |
472 |
464 |
$10K |
| D0330 |
Panoramic radiographic image |
118 |
115 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
35 |
25 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
210 |
205 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
86 |
82 |
$3K |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$958.72 |
| D9630 |
|
48 |
44 |
$623.96 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$522.98 |