Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Montana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Montana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Montana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Levi C Maltby Dmd P.C. (NPI 1265662043)

Field	Value
Entity Type	Organization
Organization	Levi C Maltby Dmd P.C.
Address	3920 3rd Ave S
City	Great Falls
State	MT
ZIP	59405
Taxonomy	Dentist
NPI Enumerated	July 15, 2009

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Key Findings

LEVI C MALTBY DMD P.C. is effectively a single-payer Medicaid practice: there is no Medicare revenue on file while reported Medicaid lifetime revenue totals $6M, indicating the provider’s clinical activity and billing footprint are concentrated in the Medicaid population rather than Medicare. The provider’s enrollment tenure is long-standing, with NPI enumeration dated 2009-07-15 (~17 years ago), consistent with an established local practice in GREAT FALLS, MT.

Revenue is concentrated in a small set of high-volume dental procedure codes: the top 3 Medicaid codes by revenue account for 39.1% of total Medicaid revenue, highlighting a heavy dependence on a few procedure types for revenue generation. Specifically, D2393 and D2392 (posterior resin-based composite restorations) and D2740 constitute the leading revenue drivers.

The code mix and descriptions indicate a practice highly focused on restorative and routine preventive dental care: top billed codes include D2393 and D2392 (multi-surface posterior composite restorations), D2740 (crown-related code listed without description in the file), and D1110 (adult prophylaxis). This suggests the operation handles high volumes of fillings, crowns, and routine cleanings consistent with a general dentistry practice with strong restorative throughput.

Competitive standing in-state is dominant for multiple high-revenue codes: the provider ranks #1 for D2393 (100th percentile), D2740 (100th percentile), D5226 and several other restorative codes, which the source labels as “extreme outlier” or “notably above typical” volumes. These rankings indicate LEVI C MALTBY is a major outlier among Montana peers for several restorative procedures and likely captures a disproportionate share of Medicaid restorative business in the state.

Several high-volume preventive and diagnostic codes also appear at elevated percentiles, indicating broad service delivery beyond isolated restorative procedures: D1206 (topical fluoride) has 9.7K claims and ranks in the 94th percentile, D0120 (periodic oral evaluation) and D0220 (first periapical image) are likewise high-volume relative to peers. This pattern is consistent with a practice that sees a steady stream of Medicaid patients for both preventive visits and associated diagnostic imaging.

Multiple codes flagged as extreme outliers reflect unusually high procedural volumes across distinct service categories, not just one procedure type: examples include D1320 (7.1K claims, 100th percentile), D0274 (6.4K claims, 99th percentile), and D3120 (5.4K claims, 100th percentile). The combination of high counts across composite restorations, radiographic/diagnostic codes, and other restorative procedures suggests sustained patient flow and capacity to deliver a broad set of dental services at scale within the state Medicaid market.

Although several high-dollar prosthetic/restorative codes appear (e.g., D5226, D5225, D2740) the dollar-per-claim levels vary widely; the practice’s mix includes both high-frequency low-dollar preventive services (e.g., D1206 at $20/claim) and lower-frequency higher-dollar restorative/prosthetic services (e.g., D2740 at $583/claim), indicating revenue diversification across visit types even while overall Medicaid revenue remains concentrated.

From a contracting or network strategy perspective, the provider’s outlier volumes and top-state rankings for key restorative codes position it as an important Medicaid network participant in Montana: payers evaluating access or utilization should anticipate above-average volumes for posterior composite restorations and related restorative services coming from this provider relative to other in-state clinicians.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2393	Resin-based composite, three surfaces, posterior	5,020	$170	$858.6K
D2392	Post 2 surface resin‑based composite	6,550	$130	$824.8K
D2740	N/A	850	$580	$496.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,540	$50	$313.8K
D5226	N/A	440	$570	$252.7K
D2394	N/A	1,340	$190	$249.6K
D1320	N/A	7,080	$30	$240.6K
D0274	N/A	6,450	$30	$206.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	9,670	$20	$193.3K
D0330	N/A	3,780	$50	$188.9K

Showing 1–10 of 47

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Montana Distribution

Levi C Maltby Dmd P.C. — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0367	N/A	14	20	530	$250	$273K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	16	40	280	$110	$233.2K
D2392	Post 2 surface resin‑based composite	9	130	310	$120	$173.4K
D5226	N/A	1	10	240	$580	$136.4K
D1310	N/A	33	50	520	$40	$119.6K
D1351	Sealant - per tooth	25	60	590	$30	$101.4K
D2740	N/A	1	30	60	$580	$92.8K
D1120	Prophylaxis–child	43	180	200	$30	$88.4K
D2751	N/A	12	20	90	$480	$67.7K
D5225	N/A	1	10	20	$570	$66.9K

Showing 1–10 of 47

Nearby Providers

Other providers in the same ZIP code as Levi C Maltby Dmd P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Benefis Hospitals Inc	MT	Multi-Specialty Clinic/Center	$0	$38.2M
Great Falls Public Schools	MT	Local Education Agency (LEA)	$0	$15M
Great Falls Pediatric Dentistry, LLC	MT	Pediatric Dentistry	$0	$14.9M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$13.2M
Great Falls Clinic LLC	MT	Multi-Specialty Clinic/Center	$0	$11.2M
Easterseals-goodwill Northern Rocky Mountain, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$7.4M
Great Falls Emergency Services Inc	MT	Land Ambulance	$842.6K	$4.4M
Benefis Hospitals, Inc.	MT	Air Ambulance	$0	$5.2M
Easterseals Goodwill N. Rocky Mtn	MT	Developmentally Disabled Services Day Training Agency	$0	$3.7M
Benefis Hospitals, Inc.	MT	General Acute Care Hospital	$0	$3.5M

Levi C Maltby Dmd P.C. — Billing Profile & Reimbursement Data

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Levi C Maltby Dmd P.C. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References