Clinic
K. Guymon Dental, LLC
K. Guymon Dental, LLC was paid $167K by Medicaid between Jul 2019 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoK. GUYMON DENTAL, LLC
GREAT FALLS, MT 59405
GREAT FALLS, MT 59405
33aNPI1699333864assigned 06/03/2019
33bProvider typeDental Clinic/Center
28Total paid$167K
24GClaims5,480
24DCodes billed15
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Montana
Rank by total paid#11 of 30
Median peer was paid$34K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2019 | 679 | $23K | |
| 2020 | 757 | $27K | |
| 2021 | 857 | $24K | |
| 2022 | 944 | $25K | |
| 2023 | 1,330 | $42K | |
| 2024incomplete | 913 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 625 | 595 | $32K |
| D1206 | Topical application of fluoride varnish | 19% | 1,555 | 1,476 | $32K |
| D0274 | Bitewings - four radiographic images | 13% | 643 | 599 | $22K |
| D0140 | Limited oral evaluation - problem focused | 11% | 549 | 507 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 718 | 687 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.1% | 90 | 64 | $12K |
| D0330 | Panoramic radiographic image | 6.9% | 224 | 215 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.3% | 134 | 87 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 225 | 214 | $7K |
| D1354 | 1.0% | 78 | 26 | $2K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 37 | 37 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 41 | 39 | $703.08 |
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 officialGUYMON, KEVIN (MANAGER)