Great Falls Dental Associates LLC

Great Falls Dental Associates LLC was paid $189K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.

33Billing provider infoGREAT FALLS DENTAL ASSOCIATES LLC
GREAT FALLS, MT 59401

33aNPI1275895039assigned 06/07/2012

33bProvider typeGeneral Practice Dentistry

28Total paid$189K

24GClaims4,180

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Montana

Rank by total paid#33 of 149

Median peer was paid$40K

This provider vs. median4.8×

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	776	$52K
2019	569	$21K
2020	354	$14K
2021	614	$24K
2022	543	$22K
2023	621	$25K
2024incomplete	703	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	37%	1,398	1,348	$69K
D0330	Panoramic radiographic image	17%	646	610	$32K
D0150	Comprehensive oral evaluation - new or established patient	13%	813	772	$25K
D0140	Limited oral evaluation - problem focused	8.7%	516	486	$16K
D5214		7.3%	18	15	$14K
D5213		6.8%	13	13	$13K
D1206	Topical application of fluoride varnish	2.8%	247	243	$5K
D0272	Bitewings - two radiographic images	2.5%	233	227	$5K
D0274	Bitewings - four radiographic images	1.8%	101	99	$3K
D7140	Extraction, erupted tooth or exposed root	1.4%	74	13	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.2%	109	103	$2K
D1120	Dental cleaning, childProphylaxis - child	<1%	12	12	$393.85

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 officialSELANDER, DAVID (PRESIDENT)