Kericksen DMD East PLLC

Kericksen DMD East PLLC was paid $19K by Medicaid between Oct 2023 and Oct 2024, across 8 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 35% of everything it billed.

33Billing provider infoKERICKSEN DMD EAST PLLC
BILLINGS, MT 59105

33aNPI1407629215assigned 11/02/2023

33bProvider typeGeneral Practice Dentistry

28Total paid$19K

24GClaims710

24DCodes billed8

24AFirst – last monthOct 2023 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Montana

Rank by total paid#92 of 149

Median peer was paid$40K

This provider vs. median0.5×

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
2023	53	$1K
2024incomplete	657	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	35%	216	186	$7K
D1110	Prophylaxis - adult	28%	129	103	$5K
D0220	Intraoral - periapical first radiographic image	14%	169	121	$3K
D0274	Bitewings - four radiographic images	12%	88	69	$2K
D0330	Panoramic radiographic image	5.1%	33	17	$965.09
D0150	Comprehensive oral evaluation - new or established patient	2.8%	29	15	$533.62
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.7%	15	15	$322.92
D5411		1.6%	31	13	$298.06

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 officialERICKSEN, KURT (OWNER)