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.

Montana Childrens Dentistry PLLC (NPI 1326706201)

Field	Value
Entity Type	Organization
Organization	Montana Childrens Dentistry PLLC
Address	116 Glacier Dr Ste 107
City	Lolo
State	MT
ZIP	59847
Taxonomy	Dentist
NPI Enumerated	December 7, 2021

Payer Source	Total Paid
Medicaid	$661.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	630	$140	$89.8K
D9920	N/A	1,630	$50	$84.7K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	490	$160	$78.2K
D0350	N/A	1,570	$30	$45.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	880	$50	$45K
D1120	Prophylaxis–child	730	$50	$35.1K
D2391	Resin‑based composite – one surface, posterior	460	$70	$33.4K
D0150	Comprehensive oral evaluation – new or established patient	880	$40	$32.7K
D0274	N/A	870	$30	$28.7K
D0330	N/A	500	$60	$28.7K

Showing 1–10 of 23

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

Montana Childrens Dentistry PLLC — 0 of 23 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	48	130	310	$120	$173.4K
D1310	N/A	35	50	520	$40	$119.6K
D1120	Prophylaxis–child	57	180	200	$30	$88.4K
D1330	N/A	33	60	340	$20	$65.6K
D2393	Resin-based composite, three surfaces, posterior	28	60	70	$160	$59.6K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	8	30	100	$140	$59.2K
D9230	N/A	27	50	250	$30	$55.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	77	260	340	$20	$54.4K
D9920	N/A	3	30	140	$80	$52.3K
D2391	Resin‑based composite – one surface, posterior	38	110	170	$60	$50.7K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Montana Childrens Dentistry PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lolo School District Number Seven	MT	Local Education Agency (LEA)	$0	$1.8M
John Hoheim	MT	Physical Therapist	$74.7K	$0
Greg Murray	MT	Medical Physician Assistant	$46.7K	$0

Montana Childrens Dentistry PLLC — Billing Profile & Reimbursement Data

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Montana Childrens Dentistry PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References