Dental
Yellowstone Family Dental
Yellowstone Family Dental was paid $75K by Medicaid between Jan 2018 and Feb 2019, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoYELLOWSTONE FAMILY DENTAL
BILLINGS, MT 59101
BILLINGS, MT 59101
33aNPI1437434123assigned 10/13/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$75K
24GClaims1,965
24DCodes billed12
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other General Practice Dentistry providers in Montana
Rank by total paid#58 of 149
Median peer was paid$40K
This provider vs. median1.9×
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 | 1,838 | $70K | |
| 2019 | 127 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 134 | 72 | $18K |
| D1110 | Prophylaxis - adult | 17% | 286 | 262 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 416 | 396 | $11K |
| D1206 | Topical application of fluoride varnish | 10% | 312 | 299 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 169 | 166 | $7K |
| D0274 | Bitewings - four radiographic images | 6.5% | 159 | 147 | $5K |
| D0272 | Bitewings - two radiographic images | 6.5% | 185 | 180 | $5K |
| D0330 | Panoramic radiographic image | 4.5% | 64 | 61 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 62 | 60 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 120 | 109 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 45 | 38 | $376.54 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | 12 | $362.49 |
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 officialLARSEN, MATTHEW (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Ascend LLC | Idaho Falls, ID | $1.93M |
| Foot & Ankle Specialists of Racine, S.C. | Racine, WI | $161K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.