Clinic
Bartoletti Dental LLC
Bartoletti Dental LLC was paid $218K by Medicaid between Jan 2020 and Nov 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoBARTOLETTI DENTAL LLC
SHERIDAN, MT 59749
SHERIDAN, MT 59749
33aNPI1417593187assigned 11/18/2019
33bProvider typeClinic/Center
28Total paid$218K
24GClaims8,919
24DCodes billed17
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Montana
Rank by total paid#38 of 91
Median peer was paid$152K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2020 | 1,616 | $30K | |
| 2021 | 2,279 | $55K | |
| 2022 | 2,211 | $59K | |
| 2023 | 1,718 | $44K | |
| 2024incomplete | 1,095 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 1,303 | 1,217 | $58K |
| D1206 | Topical application of fluoride varnish | 22% | 2,633 | 2,355 | $49K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 1,772 | 1,661 | $39K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.4% | 505 | 472 | $16K |
| D0274 | Bitewings - four radiographic images | 6.7% | 444 | 432 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 65 | 38 | $8K |
| D1310 | 3.5% | 402 | 362 | $8K | |
| D0603 | 2.8% | 630 | 603 | $6K | |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 163 | 158 | $5K |
| D1330 | 2.1% | 403 | 363 | $5K | |
| D9630 | 1.4% | 363 | 337 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 36 | 26 | $2K |
5 more codes
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 officialHARDY, KALI (OFFICE MANAGER)