Clinic
Facial Plastic and Reconstructive Surgery Montana PC
Facial Plastic and Reconstructive Surgery Montana PC was paid $0.00 by Medicaid between Aug 2024 and Sep 2024, across 5 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 0% of everything it billed.
33Billing provider infoFACIAL PLASTIC AND RECONSTRUCTIVE SURGERY MONTANA PC
MISSOULA, MT 59801
MISSOULA, MT 59801
33aNPI1407116338assigned 05/25/2012
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$0.00
24GClaims523
24DCodes billed5
24AFirst – last monthAug 2024 – Sep 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Montana
Rank by total paid#16 of 18
Median peer was paid$79K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 523 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 218 | 38 | $0.00 |
| D9239 | 0% | 82 | 56 | $0.00 | |
| D9243 | 0% | 82 | 56 | $0.00 | |
| D7230 | 0% | 52 | 16 | $0.00 | |
| D9310 | 0% | 89 | 60 | $0.00 |
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 officialHOLTZEN, RF JOHN (OWNER)