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.

Glacier Grins Pediatric Dentistry, PLLC (NPI 1740799527)

Field	Value
Entity Type	Organization
Organization	Glacier Grins Pediatric Dentistry, PLLC
Address	155 Hutton Ranch Rd # 102
City	Kalispell
State	MT
ZIP	59901
Taxonomy	Dental Clinic/Center
NPI Enumerated	September 25, 2017

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	12,860	$40	$463.1K
D2392	Post 2 surface resin‑based composite	2,700	$140	$372.9K
D1351	Sealant - per tooth	11,500	$30	$344.9K
D2930	N/A	2,530	$140	$341.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	14,440	$20	$317.6K
D1310	N/A	6,940	$40	$277.5K
D0120	Periodic oral evaluation - established patient	9,070	$30	$245K
D0272	N/A	7,060	$20	$169.4K
D1330	N/A	6,920	$20	$166.1K
D0603	Antigen testing for a public health-related pathogen, including coronavirus (COVID-19), using a high throughput technique, per day	13,990	$10	$153.9K

Showing 1–10 of 34

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

Glacier Grins Pediatric Dentistry, PLLC — 0 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

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	10	20	2,090	$120	$493.4K
D2392	Post 2 surface resin‑based composite	20	130	310	$120	$173.4K
D2929	N/A	8	10	400	$190	$126.3K
D1310	N/A	9	50	520	$40	$119.6K
D1351	Sealant - per tooth	8	60	590	$30	$101.4K
D1120	Prophylaxis–child	11	180	200	$30	$88.4K
D1330	N/A	9	60	340	$20	$65.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	26	80	290	$50	$59.8K
D9230	N/A	12	50	250	$30	$55.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	14	260	340	$20	$54.4K

Showing 1–10 of 34

Nearby Providers

Other providers in the same ZIP code as Glacier Grins Pediatric Dentistry, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flathead Industries	MT	Community/Behavioral Health Agency	$0	$40.7M
A Plus Health Care Inc	MT	In Home Supportive Care Agency	$0	$28.2M
Gabriel Dawson	MT	Pediatric Dentistry	$0	$10.7M
Kalispell Regional Medical Center Inc	MT	General Acute Care Hospital	$0	$8.8M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$6.8M
Kiddsteeth PLLC	MT	Pediatric Dentistry	$0	$6.7M
Kalispell Regional Medical Center, Inc	MT	Clinic/Center	$0	$6.2M
Kalispell Public Schools	MT	Local Education Agency (LEA)	$0	$6M
Kalispell Regional Medical Center Inc	MT	Psychiatry Physician	$0	$5.9M
Kalispell Regional Medical Center Inc	MT	Emergency Medicine Physician	$0	$5.4M

Glacier Grins Pediatric Dentistry, PLLC — Billing Profile & Reimbursement Data

Sign up for Glacier Grins Pediatric Dentistry, PLLC — Billing Profile & Reimbursement Data policy alerts

Glacier Grins Pediatric Dentistry, PLLC — Billing Profile & Reimbursement Data

Sign up for Glacier Grins Pediatric Dentistry, PLLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References