Dental
Pediatric Dental Specialists
Pediatric Dental Specialists was paid $305K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 26% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL SPECIALISTS
BILLINGS, MT 59102
BILLINGS, MT 59102
33aNPI1730209974assigned 03/30/2007
33bProvider typePediatric Dentist
28Total paid$305K
24GClaims8,520
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Montana
Rank by total paid#18 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 | |
|---|---|---|---|
| 2018 | 418 | $13K | |
| 2019 | 814 | $26K | |
| 2020 | 861 | $32K | |
| 2021 | 996 | $32K | |
| 2022 | 1,467 | $47K | |
| 2023 | 2,078 | $83K | |
| 2024incomplete | 1,886 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 26% | 2,340 | 2,250 | $78K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 2,027 | 1,942 | $65K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 1,705 | 1,643 | $58K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 230 | 109 | $23K |
| D0272 | Bitewings - two radiographic images | 6.8% | 933 | 903 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.3% | 667 | 615 | $16K |
| D9248 | 4.8% | 146 | 137 | $15K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.4% | 74 | 37 | $10K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 194 | 185 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 49 | 24 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.1% | 39 | 26 | $3K |
| D1110 | Prophylaxis - adult | <1% | 62 | 56 | $3K |
2 more codes
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 officialCLARKE, KELLY (DENTIST)