Dental
WS Dental PC
WS Dental PC was paid $158K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoWS DENTAL PC
BOZEMAN, MT 59715
BOZEMAN, MT 59715
33aNPI1295126993assigned 02/17/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$158K
24GClaims5,104
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Montana
Rank by total paid#36 of 149
Median peer was paid$40K
This provider vs. median4.0×
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 | 1,272 | $34K | |
| 2019 | 1,138 | $37K | |
| 2020 | 510 | $16K | |
| 2021 | 762 | $25K | |
| 2022 | 807 | $27K | |
| 2023 | 353 | $12K | |
| 2024incomplete | 262 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 768 | 696 | $40K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 956 | 845 | $35K |
| D1206 | Topical application of fluoride varnish | 20% | 1,397 | 1,257 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,004 | 902 | $26K |
| D0274 | Bitewings - four radiographic images | 6.8% | 298 | 273 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 445 | 388 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 31 | 12 | $2K |
| D0330 | Panoramic radiographic image | 1.2% | 29 | 29 | $2K |
| D1351 | Sealant - per tooth | <1% | 48 | 14 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 38 | 30 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 52 | 41 | $1K |
| D0603 | <1% | 26 | 25 | $617.94 |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | 0% | 12 | $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 officialSAMSON, WILLIAM (OWNER)