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.

Western Montana Family Dentistry (NPI 1821379009)

Field	Value
Entity Type	Organization
Organization	Western Montana Family Dentistry
Address	63355 Us Highway 93
City	Ronan
State	MT
ZIP	59864
Taxonomy	Dentist
NPI Enumerated	September 1, 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.

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	2,540	$120	$309.6K
D0120	Periodic oral evaluation - established patient	6,780	$20	$149.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,820	$50	$126.7K
D1120	Prophylaxis–child	3,180	$30	$105K
D0274	N/A	3,320	$30	$99.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4,690	$20	$89.1K
D0367	N/A	340	$260	$87.8K
D2391	Resin‑based composite – one surface, posterior	560	$60	$33.8K
D0150	Comprehensive oral evaluation – new or established patient	850	$30	$26.2K
D2950	N/A	200	$130	$24.8K

Showing 1–10 of 21

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

Western Montana Family Dentistry — 1 of 20 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0367	N/A	15	20	530	$250	$273K
D2392	Post 2 surface resin‑based composite	22	130	310	$120	$173.4K
D1351	Sealant - per tooth	52	60	590	$30	$101.4K
D2740	N/A	20	30	60	$580	$92.8K
D1120	Prophylaxis–child	27	180	200	$30	$88.4K
D2393	Resin-based composite, three surfaces, posterior	27	60	70	$160	$59.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	31	260	340	$20	$54.4K
D2391	Resin‑based composite – one surface, posterior	35	110	170	$60	$50.7K
D0120	Periodic oral evaluation - established patient	21	300	410	$20	$50.7K
D0272	N/A	28	90	230	$20	$50.4K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mission Mountain Enterprises, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$17.9M
Ronald Dean	MT	Emergency Medicine Physician	$2.3M	$2.3K
Pal Memory Care, LLC	MT	Assisted Living Facility	$0	$1.7M
School District #30	MT	Local Education Agency (LEA)	$0	$1.4M
St Lukes Community Hospital	MT	Urgent Care Clinic/Center	$0	$1.2M
Mission Valley Eye Center, Inc.	MT	Optometrist	$0	$1.1M
St Lukes Community Hospital	MT	Family Medicine Physician	$0	$824.3K
St Lukes Community Hospital	MT	Critical Access Hospital	$0	$714.7K
Rosemary Epperson	MT	Clinical Social Worker	$0	$366.8K
Hikmat Maaliki	MT	Family Medicine Physician	$127K	$0

Western Montana Family Dentistry — Billing Profile & Reimbursement Data

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Western Montana Family Dentistry — Billing Profile & Reimbursement Data

Sign up for Western Montana Family Dentistry — 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