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.

Columbia Falls Family Dental Center PC (NPI 1508145913)

Field	Value
Entity Type	Organization
Organization	Columbia Falls Family Dental Center PC
Address	105 Nucleus Ave
City	Columbia Falls
State	MT
ZIP	59912
Taxonomy	General Practice Dentistry
NPI Enumerated	August 16, 2011

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,660	$50	$237.8K
D2392	Post 2 surface resin‑based composite	1,760	$130	$224.8K
D0120	Periodic oral evaluation - established patient	6,560	$30	$164K
D0274	N/A	2,840	$30	$96.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4,980	$20	$94.5K
D9630	N/A	4,670	$20	$74.7K
D1120	Prophylaxis–child	2,100	$40	$73.5K
D0330	N/A	1,260	$50	$68K
D0220	Intraoral - periapical first radiographic image	1,740	$20	$29.6K
D4910	Periodontal maintenance procedures	310	$60	$19K

Showing 1–10 of 24

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

Columbia Falls Family Dental Center PC — 1 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	28	130	310	$120	$173.4K
D2740	N/A	26	30	60	$580	$92.8K
D1120	Prophylaxis–child	33	180	200	$30	$88.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	69	80	290	$50	$59.8K
D2393	Resin-based composite, three surfaces, posterior	29	60	70	$160	$59.6K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	24	30	100	$140	$59.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	29	260	340	$20	$54.4K
D2391	Resin‑based composite – one surface, posterior	48	110	170	$60	$50.7K
D0120	Periodic oral evaluation - established patient	22	300	410	$20	$50.7K
D0272	N/A	31	90	230	$20	$50.4K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Columbia Falls Family Dental Center PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recovery Centers Of Montana LLC	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$21.7M
Flathead County School District No 6	MT	Local Education Agency (LEA)	$0	$3.2M
Hidden Meadow Management LLC	MT	Assisted Living Facility	$0	$2.6M
Riverstone Management	MT	Assisted Living Facility	$0	$1.7M
Price Assisted Living Services LLC	MT	Assisted Living Facility	$0	$1.4M
Shadrach Barney	MT	Denturist	$0	$984.5K
Berube Physical Therapy, Inc	MT	Multi-Specialty Clinic/Center	$0	$751.2K
Glacier Hope Homes, Inc.	MT	Substance Abuse Rehabilitation Facility	$0	$358.1K
Kelly Ewalt	MT	Professional Counselor	$0	$343.5K
Heavens Peak Healthcare LLC	MT	Nurse Practitioner	$0	$335.2K

Columbia Falls Family Dental Center PC — Billing Profile & Reimbursement Data

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Columbia Falls Family Dental Center PC — 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