Clinic
Scott Dental LLC
Scott Dental LLC was paid $5K by Medicaid between Mar 2022 and May 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.
33Billing provider infoSCOTT DENTAL LLC
SARATOGA, WY 82331
SARATOGA, WY 82331
33aNPI1467090571assigned 12/19/2019
33bProvider typeDental Clinic/Center
28Total paid$5K
24GClaims169
24DCodes billed5
24AFirst – last monthMar 2022 – May 2024
Compared with peers
Next to other Dental Clinic/Center providers in Wyoming
Rank by total paid#11 of 18
Median peer was paid$7K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2022 | 60 | $1K | |
| 2023 | 55 | $2K | |
| 2024incomplete | 54 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 42% | 41 | 39 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 42 | 42 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 17 | 17 | $546.08 |
| D1206 | Topical application of fluoride varnish | 7.6% | 12 | 12 | $372.00 |
| D1330 | 7.1% | 57 | 57 | $351.04 |
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 officialSCOTT, AMANDA (OFFICE MANAGER)