WESTERN MONTANA FAMILY DENTISTRY
NPI: 1821379009
· RONAN, MT 59864
· 122300000X
$1.15M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,684 |
$186K |
| 2019 |
4,217 |
$159K |
| 2020 |
3,538 |
$124K |
| 2021 |
3,545 |
$126K |
| 2022 |
4,357 |
$204K |
| 2023 |
4,542 |
$195K |
| 2024 |
3,260 |
$160K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,538 |
1,380 |
$308K |
| D0120 |
|
6,781 |
6,355 |
$149K |
| D1110 |
|
2,816 |
2,582 |
$128K |
| D1120 |
|
3,183 |
3,047 |
$105K |
| D0274 |
|
3,317 |
3,108 |
$101K |
| D0367 |
|
339 |
302 |
$88K |
| D1206 |
|
4,691 |
4,458 |
$87K |
| D2391 |
|
563 |
355 |
$34K |
| D0150 |
|
845 |
776 |
$27K |
| D2950 |
|
197 |
153 |
$25K |
| D2740 |
|
37 |
31 |
$24K |
| D0140 |
|
801 |
697 |
$23K |
| D0272 |
|
1,128 |
1,090 |
$22K |
| D2393 |
|
71 |
40 |
$12K |
| D0220 |
|
560 |
513 |
$8K |
| D0330 |
|
104 |
103 |
$6K |
| D0210 |
|
62 |
60 |
$4K |
| D4355 |
|
26 |
26 |
$2K |
| D1351 |
|
56 |
13 |
$1K |
| D3120 |
|
14 |
12 |
$434.09 |
| D2999 |
|
14 |
12 |
$0.00 |