Dental
Great Falls Pediatric Dentistry, LLC
Great Falls Pediatric Dentistry, LLC was paid $14.79M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.
33Billing provider infoGREAT FALLS PEDIATRIC DENTISTRY, LLC
GREAT FALLS, MT 59405
GREAT FALLS, MT 59405
33aNPI1922479047assigned 10/15/2015
33bProvider typePediatric Dentist
28Total paid$14.79M
24GClaims471,218
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Montana
Rank by total paid#2 of 25
Median peer was paid$1.14M
This provider vs. median13×
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 | 55,519 | $1.53M | |
| 2019 | 61,706 | $1.76M | |
| 2020 | 53,428 | $1.73M | |
| 2021 | 68,867 | $2.38M | |
| 2022 | 69,736 | $2.34M | |
| 2023 | 78,219 | $2.49M | |
| 2024incomplete | 83,743 | $2.55M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 17,321 | 4,057 | $2.05M |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 54,741 | 49,469 | $1.81M |
| D1206 | Topical application of fluoride varnish | 10% | 79,164 | 69,726 | $1.55M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 49,064 | 44,501 | $1.18M |
| D1310 | 6.7% | 27,140 | 24,564 | $997K | |
| D1351 | Sealant - per tooth | 6.3% | 39,346 | 7,309 | $927K |
| D7140 | Extraction, erupted tooth or exposed root | 4.7% | 10,176 | 4,298 | $693K |
| D1330 | 4.0% | 27,142 | 24,563 | $584K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 4,421 | 1,937 | $542K |
| D9630 | 3.5% | 33,086 | 30,033 | $521K | |
| D0272 | Bitewings - two radiographic images | 3.4% | 24,369 | 21,978 | $498K |
| D0330 | Panoramic radiographic image | 3.1% | 8,824 | 7,874 | $461K |
28 more codes
| D1110 | Prophylaxis - adult | 2.9% | 9,274 | $431K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 5,209 | $327K |
| D0603 | 2.2% | 34,247 | $324K | |
| D0145 | Oral evaluation for a patient under three years of age | 2.0% | 9,128 | $297K |
| D8670 | Periodic orthodontic treatment visit | 1.3% | 3,154 | $188K |
| D0240 | 1.2% | 9,911 | $183K | |
| D0425 | 1.1% | 4,142 | $160K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 4,590 | $150K |
| D9248 | <1% | 957 | $137K | |
| D8070 | <1% | 54 | $133K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 4,019 | $126K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 1,359 | $113K |
| D0274 | Bitewings - four radiographic images | <1% | 3,387 | $111K |
| D9310 | <1% | 1,073 | $52K | |
| D2929 | <1% | 280 | $51K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,091 | $50K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | <1% | 24 | $37K |
| D1320 | <1% | 884 | $31K | |
| D9992 | <1% | 571 | $19K | |
| D8030 | <1% | 25 | $15K | |
| D9420 | <1% | 225 | $14K | |
| D0350 | <1% | 441 | $10K | |
| D0470 | <1% | 234 | $7K | |
| D2332 | <1% | 23 | $3K | |
| D1510 | <1% | 16 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 46 | $1K |
| D1354 | <1% | 40 | $715.36 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 20 | $266.01 |
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 officialRENCHER, KEVIN (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dentistry PC | Helena, MT | $9.98M |
| Havre Pediatric Dentistry | Havre, MT | $767K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.