Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WCW DENTAL LLC

NPI: 1659667152 · BILLINGS, MT 59102 · General Practice Dentistry · NPI assigned 06/22/2011

$65K
Total Medicaid Paid
2,376
Total Claims
2,163
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialWINTERHOLLER, WILLIAM (PRESIDENT)
NPI Enumeration Date06/22/2011

Related Entities

Other providers sharing the same authorized official: WINTERHOLLER, WILLIAM

ProviderCityStateTotal Paid
MISA04, LLC MISSOULA MT $768K
MORRISON FAMILY DENTISTRY PC LAUREL MT $237K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 583 $16K
2019 330 $9K
2020 257 $7K
2021 358 $9K
2022 413 $12K
2023 350 $9K
2024 85 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 619 581 $27K
D0120 Periodic oral evaluation - established patient 1,183 1,080 $25K
D1206 Topical application of fluoride varnish 200 190 $4K
D0274 Bitewings - four radiographic images 123 112 $4K
D0150 Comprehensive oral evaluation - new or established patient 81 69 $2K
D0140 Limited oral evaluation - problem focused 44 38 $1K
D1120 Prophylaxis - child 30 29 $1K
D0220 Intraoral - periapical first radiographic image 96 64 $828.17