Dental
Butte Pediatric Dentistry PC
Butte Pediatric Dentistry PC was paid $369K by Medicaid between Mar 2024 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoBUTTE PEDIATRIC DENTISTRY PC
BUTTE, MT 59701
BUTTE, MT 59701
33aNPI1699514380assigned 05/22/2024
33bProvider typePediatric Dentist
28Total paid$369K
24GClaims12,054
24DCodes billed26
24AFirst – last monthMar 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Montana
Rank by total paid#17 of 25
Median peer was paid$1.14M
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2024incomplete | 12,054 | $369K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 1,618 | 1,474 | $61K |
| D1206 | Topical application of fluoride varnish | 12% | 2,008 | 1,824 | $44K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,551 | 1,417 | $40K |
| D1351 | Sealant - per tooth | 8.4% | 1,020 | 237 | $31K |
| D1310 | 7.9% | 681 | 622 | $29K | |
| D1330 | 5.0% | 679 | 620 | $19K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 183 | 98 | $15K |
| D0603 | 3.8% | 1,119 | 1,030 | $14K | |
| D0350 | 3.6% | 379 | 361 | $13K | |
| D1110 | Prophylaxis - adult | 3.5% | 232 | 215 | $13K |
| D1354 | 3.3% | 586 | 99 | $12K | |
| D0272 | Bitewings - two radiographic images | 3.2% | 511 | 465 | $12K |
14 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 80 | $12K |
| D0425 | 2.8% | 209 | $10K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 253 | $9K |
| D9248 | 1.5% | 35 | $6K | |
| D1320 | 1.4% | 138 | $5K | |
| D0330 | Panoramic radiographic image | 1.2% | 67 | $4K |
| D9630 | 1.1% | 229 | $4K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 94 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 90 | $3K |
| D1353 | <1% | 88 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 78 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 48 | $2K |
| D0240 | <1% | 66 | $1K | |
| D9920 | <1% | 12 | $675.29 |
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 officialTODOROVICH, RYAN (OWNER)