Advanced Dental, INC.

Advanced Dental, INC. was paid $5K by Medicaid between Jan 2018 and Apr 2018, across 6 billing codes. Its largest line is D0330, Panoramic radiographic image — 30% of everything it billed.

33Billing provider infoADVANCED DENTAL, INC.
CHEYENNE, WY 82009

33aNPI1770833113assigned 09/13/2012

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims128

24DCodes billed6

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other General Practice Dentistry providers in Wyoming

Rank by total paid#36 of 64

Median peer was paid$6K

This provider vs. median0.7×

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	128	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0330	Panoramic radiographic image	30%	34	34	$1K
D0150	Comprehensive oral evaluation - new or established patient	25%	33	33	$1K
D1110	Prophylaxis - adult	16%	17	16	$750.00
D0274	Bitewings - four radiographic images	13%	19	19	$630.00
D0140	Limited oral evaluation - problem focused	12%	12	12	$540.00
D0220	Intraoral - periapical first radiographic image	4.2%	13	12	$195.00

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 officialROCKNAK, SHAUN (OWNER)