Dental
Jewel Basin Dentistry
Jewel Basin Dentistry was paid $9K by Medicaid between Jan 2022 and Dec 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 46% of everything it billed.
33Billing provider infoJEWEL BASIN DENTISTRY
BIG FORK, MT 59911
BIG FORK, MT 59911
33aNPI1821697921assigned 10/20/2020
33bProvider typeDentist
28Total paid$9K
24GClaims290
24DCodes billed5
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Dentist providers in Montana
Rank by total paid#65 of 95
Median peer was paid$38K
This provider vs. median0.2×
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 | 53 | $2K | |
| 2023 | 62 | $2K | |
| 2024incomplete | 175 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 46% | 83 | 78 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 98 | 92 | $2K |
| D1206 | Topical application of fluoride varnish | 17% | 79 | 71 | $1K |
| D0274 | Bitewings - four radiographic images | 5.0% | 16 | 13 | $442.80 |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 14 | 13 | $420.72 |
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 officialBAGNELL, TIMOTHY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Western Montana Family Dentistry | Ronan, MT | $1.15M |
| Bagnell Dental Clinic, P.C. | Frenchtown, MT | $101K |
| River Town Dental Corporation | Thompson Falls, MT | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.