Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ELEVATION DENTAL BUTTE PLLC

NPI: 1366004509 · BUTTE, MT 59701 · General Practice Dentistry · NPI assigned 07/08/2019

$50K
Total Medicaid Paid
1,328
Total Claims
1,177
Beneficiaries
9
Codes Billed
2021-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNIELSEN, PAUL (PRESIDENT)
NPI Enumeration Date07/08/2019

Related Entities

Other providers sharing the same authorized official: NIELSEN, PAUL

ProviderCityStateTotal Paid
NIELSEN DENTAL P.C. HELENA MT $1.06M
ELEVATION DENTAL DEER LODGE PLLC DEER LODGE MT $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14 $728.98
2022 525 $19K
2023 517 $18K
2024 272 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 466 419 $20K
D0150 Comprehensive oral evaluation - new or established patient 277 248 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 68 38 $7K
D0120 Periodic oral evaluation - established patient 238 230 $5K
D0140 Limited oral evaluation - problem focused 105 97 $3K
D7140 Extraction, erupted tooth or exposed root 30 12 $2K
D0210 Intraoral - complete series of radiographic images 28 24 $2K
D0220 Intraoral - periapical first radiographic image 89 82 $1K
D0274 Bitewings - four radiographic images 27 27 $986.34