Dental
MT West Dentist PLLC
MT West Dentist PLLC was paid $132K by Medicaid between Jul 2021 and Nov 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoMT WEST DENTIST PLLC
PLAINS, MT 59859
PLAINS, MT 59859
33aNPI1407424179assigned 06/17/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$132K
24GClaims4,626
24DCodes billed11
24AFirst – last monthJul 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Montana
Rank by total paid#41 of 149
Median peer was paid$40K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2021 | 659 | $17K | |
| 2022 | 1,692 | $56K | |
| 2023 | 1,646 | $42K | |
| 2024incomplete | 629 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 551 | 515 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,060 | 1,026 | $26K |
| D1206 | Topical application of fluoride varnish | 16% | 989 | 961 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 410 | 401 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 101 | 58 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 9.1% | 730 | 680 | $12K |
| D0274 | Bitewings - four radiographic images | 5.2% | 202 | 195 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 492 | 461 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 25 | 12 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 53 | 53 | $2K |
| D9630 | <1% | 13 | 13 | $195.14 |
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 officialSHERWOOD, DANA (OFFICE MANAGER)