Glacier Dental Group, PC

Glacier Dental Group, PC was paid $58K by Medicaid between Jan 2018 and Aug 2024, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 77% of everything it billed.

33Billing provider infoGLACIER DENTAL GROUP, PC
KALISPELL, MT 59901

33aNPI1891830360assigned 02/21/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$58K

24GClaims1,443

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other General Practice Dentistry providers in Montana

Rank by total paid#64 of 149

Median peer was paid$40K

This provider vs. median1.5×

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	259	$10K
2019	365	$13K
2020	259	$10K
2021	142	$7K
2022	154	$7K
2023	206	$9K
2024incomplete	58	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	77%	908	881	$45K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	307	301	$8K
D0274	Bitewings - four radiographic images	5.1%	96	90	$3K
D1206	Topical application of fluoride varnish	4.2%	132	131	$2K

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 officialKEIM, DAVID (PRESIDENT)