Dental
Havre Dental Group INC
Havre Dental Group INC was paid $18K by Medicaid between Dec 2023 and Dec 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.
33Billing provider infoHAVRE DENTAL GROUP INC
HAVRE, MT 59501
HAVRE, MT 59501
33aNPI1356114318assigned 11/01/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$18K
24GClaims720
24DCodes billed4
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Montana
Rank by total paid#93 of 149
Median peer was paid$40K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2023 | 16 | $251.20 | |
| 2024incomplete | 704 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 37% | 271 | 254 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 130 | 122 | $5K |
| D1206 | Topical application of fluoride varnish | 21% | 261 | 248 | $4K |
| D1110 | Prophylaxis - adult | 15% | 58 | 49 | $3K |
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 officialOLSON, GERALD (PRESIDENT)