Clinic
Elkhorn Family Dental, LLC
Elkhorn Family Dental, LLC was paid $689.64 by Medicaid between Jul 2018 and Jul 2018, across 1 billing code. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoELKHORN FAMILY DENTAL, LLC
BOULDER, MT 59632
BOULDER, MT 59632
33aNPI1740546100assigned 04/10/2012
33bProvider typeDental Clinic/Center
28Total paid$689.64
24GClaims14
24DCodes billed1
24AFirst – last monthJul 2018 – Jul 2018
Compared with peers
Next to other Dental Clinic/Center providers in Montana
Rank by total paid#28 of 30
Median peer was paid$34K
This provider vs. median0.0×
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 | 14 | $689.64 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 14 | 14 | $689.64 |
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 officialMARTIN, CHARISSA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Queen City Dental Studio | Helena, MT | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.