Queen City Dental Studio

Queen City Dental Studio was paid $3K by Medicaid between Oct 2022 and Nov 2023, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.

33Billing provider infoQUEEN CITY DENTAL STUDIO
HELENA, MT 59601

33aNPI1346691201assigned 06/22/2016

33bProvider typeDentist

28Total paid$3K

24GClaims127

24DCodes billed5

24AFirst – last monthOct 2022 – Nov 2023

Compared with peers

Next to other Dentist providers in Montana

Rank by total paid#77 of 95

Median peer was paid$38K

This provider vs. median0.1×

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
2022	13	$164.87
2023	114	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	41%	26	26	$1K
D0220	Intraoral - periapical first radiographic image	26%	45	42	$656.16
D0274	Bitewings - four radiographic images	17%	13	13	$425.76
D0230	Intraoral - periapical each additional radiographic image	8.5%	31	26	$217.93
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.8%	12	12	$198.72

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 officialMARTIN, CHARISSA (DENTIST/OWNER)

Same official

Other billing entities under MARTIN, CHARISSA

Full network →

Provider	Location	Paid
Elkhorn Family Dental, LLC	Boulder, MT	$689.64

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.