BUTTE FAMILY DENTAL
NPI: 1528355583
· BUTTE, MT 59701
· General Practice Dentistry
· NPI assigned 06/28/2011
$123K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
554 |
$12K |
| 2019 |
756 |
$16K |
| 2020 |
582 |
$13K |
| 2021 |
786 |
$16K |
| 2022 |
1,101 |
$24K |
| 2023 |
1,186 |
$23K |
| 2024 |
767 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,327 |
2,078 |
$49K |
| D1110 |
Prophylaxis - adult |
750 |
630 |
$30K |
| D1206 |
Topical application of fluoride varnish |
2,161 |
1,899 |
$28K |
| D1120 |
Prophylaxis - child |
494 |
448 |
$16K |