Dental
MT Specialty Dental Services, PLLC
MT Specialty Dental Services, PLLC was paid $1K by Medicaid between Nov 2024 and Nov 2024, across 2 billing codes.
Its largest line is D0120 , dental checkup, returning patient — 58% of everything it billed.
33 Billing provider infoMT SPECIALTY DENTAL SERVICES, PLLC
33a NPI1558101378 assigned 05/29/2024
28 Total paid$1K
24G Claims30
24D Codes billed2
24A First – last monthNov 2024 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Montana
Rank by total paid #25 of 25
Median peer was paid $1.14M
This provider vs. median 0.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed .
Entity Proliferation Authorized official DASCH, CHARLOTTE controls 20+ related entities in our dataset.
Read more
Box 24A · Dates of service
Paid by month
$0 $500 $1.0K $1.5K 2018 2019 2020 2021 2022 2023 2024
By year, as a table
Year Claims Paid
2024incomplete 30 $1K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient
58% 18
18
$702.00
D1206 Topical application of fluoride varnish
42% 12
12
$511.92
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
Parent organization MT SPECIALTY DENTAL SERVICES, PLLC
Same official Other billing entities under DASCH, CHARLOTTE Full network →
Provider Location Paid
Ut Bcdo Specialty Dental Services, PLLC West Jordan, UT $14.06M TN Specialty Dental Services, PLLC Brentwood, TN $8.67M CDPT II PC Dallas, TX $3.16M TN Specialty Dental Services, PLLC Knoxville, TN $848K Ne Specialty Dental Services LLC Omaha, NE $521K MT Oms Specialty Dental Services, PLLC Billings, MT $480K Co Specialty Dental Services PLLC Aurora, CO $341K Co Specialty Dental Services PLLC Glendale, CO $255K Ut Specialty Dental Services, PLLC Spanish Fork, UT $166K Co Specialty Dental Services PLLC Parker, CO $120K TN Specialty Dental Services, PLLC Brentwood, TN $117K TN Specialty Dental Services, PLLC Hendersonville, TN $98K Ne Oms Specialty Dental Services, LLC Omaha, NE $57K TN Specialty Dental Services, PLLC Nolensville, TN $54K Ok Oms Specialty Dental Services Oklahoma City, OK $38K Ne Specialty Dental Services LLC Omaha, NE $35K Ok Specialty Dental Services PLLC Oklahoma City, OK $32K Co Specialty Dental Services PLLC Thornton, CO $23K Co Specialty Dental Services PLLC Colorado Springs, CO $13K Co Specialty Dental Services PLLC Colorado Springs, CO $5K
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.