Clinic
Roundup Family Dentistry
Roundup Family Dentistry was paid $32K by Medicaid between Sep 2022 and Nov 2024, across 8 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 26% of everything it billed.
33Billing provider infoROUNDUP FAMILY DENTISTRY
ROUNDUP, MT 59072
ROUNDUP, MT 59072
33aNPI1700522398assigned 05/07/2022
33bProvider typeDental Clinic/Center
28Total paid$32K
24GClaims853
24DCodes billed8
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Montana
Rank by total paid#17 of 30
Median peer was paid$34K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2022 | 82 | $2K | |
| 2023 | 609 | $24K | |
| 2024incomplete | 162 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 26% | 256 | 224 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 25% | 102 | 25 | $8K |
| D1110 | Prophylaxis - adult | 19% | 155 | 124 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 23 | 13 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 8.2% | 172 | 148 | $3K |
| D0274 | Bitewings - four radiographic images | 5.3% | 53 | 51 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 62 | 47 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.4% | 30 | 30 | $745.20 |
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 officialDAIGREPONT, JACK (GENERAL DENTIST)