Clinic
Mountain Dental PC
Mountain Dental PC was paid $104K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoMOUNTAIN DENTAL PC
LANDER, WY 82520
LANDER, WY 82520
33aNPI1366596033assigned 01/22/2007
33bProvider typeDental Clinic/Center
28Total paid$104K
24GClaims2,701
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Wyoming
Rank by total paid#3 of 18
Median peer was paid$7K
This provider vs. median16×
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 | 566 | $27K | |
| 2019 | 272 | $10K | |
| 2020 | 292 | $9K | |
| 2021 | 315 | $11K | |
| 2022 | 469 | $21K | |
| 2023 | 552 | $17K | |
| 2024incomplete | 235 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 798 | 753 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 589 | 581 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 208 | 142 | $19K |
| D1206 | Topical application of fluoride varnish | 13% | 439 | 424 | $13K |
| D1110 | Prophylaxis - adult | 10% | 212 | 197 | $11K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.2% | 55 | 12 | $7K |
| D0274 | Bitewings - four radiographic images | 5.7% | 189 | 177 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 44 | 33 | $3K |
| D1330 | <1% | 141 | 129 | $952.50 | |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $280.80 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | 14 | $280.00 |
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 officialSUTTON, TODD (DENTIST)