Dental
Levi C Maltby DMD P.C.
Levi C Maltby DMD P.C. was paid $5.97M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoLEVI C MALTBY DMD P.C.
GREAT FALLS, MT 59405
GREAT FALLS, MT 59405
33aNPI1265662043assigned 07/15/2009
33bProvider typeDentist
28Total paid$5.97M
24GClaims95,027
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Montana
Rank by total paid#1 of 95
Median peer was paid$38K
This provider vs. median155×
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 | 15,363 | $893K | |
| 2019 | 14,183 | $651K | |
| 2020 | 12,639 | $714K | |
| 2021 | 15,863 | $1.13M | |
| 2022 | 16,811 | $1.23M | |
| 2023 | 11,967 | $794K | |
| 2024incomplete | 8,201 | $556K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 14% | 5,021 | 2,854 | $857K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 6,546 | 3,534 | $824K |
| D2740 | Crown - porcelain/ceramic | 8.3% | 852 | 722 | $497K |
| D1110 | Prophylaxis - adult | 5.2% | 6,538 | 6,158 | $311K |
| D5226 | 4.2% | 441 | 361 | $253K | |
| D2394 | 4.2% | 1,342 | 885 | $250K | |
| D1320 | 4.1% | 7,075 | 6,611 | $244K | |
| D0274 | Bitewings - four radiographic images | 3.4% | 6,449 | 6,066 | $205K |
| D1206 | Topical application of fluoride varnish | 3.2% | 9,666 | 9,024 | $190K |
| D0330 | Panoramic radiographic image | 3.2% | 3,778 | 3,527 | $189K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 7,928 | 7,470 | $184K |
| D5225 | 3.1% | 323 | 258 | $182K |
35 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 2,734 | $170K |
| D3120 | 2.7% | 5,400 | $163K | |
| D4341 | 2.4% | 885 | $146K | |
| D0367 | 2.2% | 480 | $130K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 3,489 | $113K |
| D1354 | 1.7% | 5,232 | $103K | |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 3,080 | $99K |
| D2950 | 1.6% | 802 | $95K | |
| D2335 | 1.4% | 653 | $81K | |
| D4910 | 1.3% | 1,249 | $79K | |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 4,690 | $75K |
| D2331 | 1.1% | 706 | $67K | |
| D2332 | 1.1% | 606 | $63K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 451 | $55K |
| D4342 | <1% | 589 | $52K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 775 | $52K |
| D1120 | Dental cleaning, child | <1% | 1,281 | $43K |
| D1351 | Sealant - per tooth | <1% | 1,644 | $42K |
| D2330 | <1% | 647 | $40K | |
| D9110 | <1% | 484 | $30K | |
| D9920 | <1% | 155 | $16K | |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 32 | $15K |
| D9940 | <1% | 33 | $10K | |
| D0272 | Bitewings - two radiographic images | <1% | 347 | $7K |
| D9944 | <1% | 27 | $6K | |
| D0603 | <1% | 587 | $6K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 692 | $6K |
| D1310 | <1% | 217 | $5K | |
| D1330 | <1% | 343 | $5K | |
| D9630 | <1% | 311 | $5K | |
| D0270 | <1% | 151 | $2K | |
| D3110 | <1% | 62 | $2K | |
| D0602 | <1% | 125 | $1K | |
| D4355 | <1% | 16 | $913.55 | |
| D9987 | 0% | 93 | $0.00 |
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 officialMALTBY, LEVI (PRESIDENT)