Clinic
Mountain Shore PLLC
Mountain Shore PLLC was paid $16K by Medicaid between Mar 2021 and Oct 2024, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 49% of everything it billed.
33Billing provider infoMOUNTAIN SHORE PLLC
POLSON, MT 59860
POLSON, MT 59860
33aNPI1558909093assigned 12/16/2019
33bProvider typeDental Clinic/Center
28Total paid$16K
24GClaims977
24DCodes billed4
24AFirst – last monthMar 2021 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Montana
Rank by total paid#18 of 30
Median peer was paid$34K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 26 | $543.34 | |
| 2022 | 214 | $4K | |
| 2023 | 516 | $7K | |
| 2024incomplete | 221 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 49% | 637 | 364 | $8K |
| D1110 | Prophylaxis - adult | 35% | 195 | 106 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 130 | 76 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 15 | 12 | $425.76 |
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 officialRICKS, JOSHUA (DENTIST/OWNER)