Clinic
Montana Dental Spa
Montana Dental Spa was paid $41K by Medicaid between Aug 2021 and Oct 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 55% of everything it billed.
33Billing provider infoMONTANA DENTAL SPA
KALISPELL, MT 59901
KALISPELL, MT 59901
33aNPI1952947319assigned 11/20/2019
33bProvider typeDental Clinic/Center
28Total paid$41K
24GClaims1,183
24DCodes billed5
24AFirst – last monthAug 2021 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Montana
Rank by total paid#15 of 30
Median peer was paid$34K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2021 | 57 | $2K | |
| 2022 | 319 | $13K | |
| 2023 | 472 | $16K | |
| 2024incomplete | 335 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 55% | 471 | 434 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 408 | 377 | $10K |
| D1206 | Topical application of fluoride varnish | 11% | 245 | 223 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.2% | 20 | 12 | $3K |
| D0274 | Bitewings - four radiographic images | 3.4% | 39 | 37 | $1K |
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 officialSEAMAN, GREGORY (DOCTOR)
Parent organizationGREGORY SEAMAN