Sidney Dental LLC

Sidney Dental LLC was paid $87K by Medicaid between Feb 2018 and Apr 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.

33Billing provider infoSIDNEY DENTAL LLC
SIDNEY, MT 59270

33aNPI1386001444assigned 01/20/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$87K

24GClaims3,108

24DCodes billed10

24AFirst – last monthFeb 2018 – Apr 2024

Compared with peers

Next to other General Practice Dentistry providers in Montana

Rank by total paid#52 of 149

Median peer was paid$40K

This provider vs. median2.2×

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	434	$10K
2019	347	$12K
2020	492	$17K
2021	632	$17K
2022	516	$13K
2023	538	$14K
2024incomplete	149	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	925	887	$23K
D1120	Dental cleaning, childProphylaxis - child	26%	659	622	$23K
D1208	Topical application of fluoride, excluding varnish	18%	908	858	$16K
D1110	Prophylaxis - adult	8.9%	155	148	$8K
D0150	Comprehensive oral evaluation - new or established patient	8.4%	215	206	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.9%	37	26	$5K
D0274	Bitewings - four radiographic images	4.0%	102	98	$3K
D1206	Topical application of fluoride varnish	1.3%	55	54	$1K
D0272	Bitewings - two radiographic images	<1%	27	27	$613.35
D0220	Intraoral - periapical first radiographic image	<1%	25	25	$447.22

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 officialFERRARA, FRANCO (OWNER/DENTIST)