Billings Dermatology & Aesthetics

What Billings Dermatology & Aesthetics does

Billings Dermatology & Aesthetics is a privately held, physician-led dermatology and medical aesthetics practice headquartered at 2294 Grant Road in Billings, Montana, with five monthly outreach clinics spanning Miles City and Red Lodge, Montana, and Powell, Worland, and Cody, Wyoming. The practice serves a four-state regional catchment (Montana, Wyoming, North Dakota, South Dakota) with a hybrid medical and cosmetic service model, offering insurance-billed medical dermatology (skin cancer detection, Mohs micrographic surgery, inflammatory and infectious skin disease treatment) alongside cash-pay aesthetic services (Botox, dermal fillers, laser treatments, body contouring, skin tightening, hair restoration, and medical-grade skincare retail). The clinical operation is anchored by Dr. Tanya Riddle, MD — the only triple board-certified dermatologist in the region — supported by three physician assistants and approximately 15+ total staff.

The practice operates a capital-intensive equipment stack including Fraxel Dual 1550/1927, V-Beam Perfecta pulsed dye laser, GentleMax Pro Plus, Nordlys IPL with Dual Mode Filtering, SculpSure body contouring, Kybella, Pelleve/PelleFirm RF systems, and HydraFacial platforms. A single AI application — HairMetrix trichoscopy for hair loss analysis — provides computer vision-based quantification of hair thickness, growth phase, and follicle density. The practice runs an internal pathology lab staffed by lab technicians with Dr. Riddle as lab director, enabling rapid tissue processing for Mohs surgery, and uses Doxy.me for HIPAA-compliant telehealth follow-ups.

Revenue is generated through three streams: insurance-billed medical dermatology (Medicare Part B, Medicare supplements, Rocky Mountain Health Network commercial plans), cash-pay cosmetic services priced per unit or per treatment ($12-$14/unit Botox, $425-$850 per syringe filler, $199-$1,500 per laser or facial treatment), and retail skincare product sales (Epionce, SkinCeuticals, Colorescience, EltaMD, Nutrafol, Revitalash, and others) sold in-office and through affiliate channels. The business supports patient retention through loyalty programs (Botox Loyalty Rate, Allē Rewards integration), package pricing (15%-25% discounts on multi-treatment bundles), and a $50 patient referral credit. Distribution is primarily direct patient care across the main clinic and five outreach sites, supplemented by Zocdoc online scheduling, social media presence on Facebook and Instagram, quarterly email newsletters, and Healthgrades/Yelp/Google review profiles.

Name

Billings Dermatology & Aesthetics

Legal name

Billings Dermatology & Aesthetics

Website

https://billingsdermatology.com

Company type

Private

Founded year

2021

Operating status

Operating

Headcount range

11–50 employees

Short description

Billings Dermatology & Aesthetics is a privately held, physician-led dermatology and medical aesthetics practice in Billings, Montana, with five regional outreach clinics. It serves a four-state catchment (Montana, Wyoming, North Dakota, South Dakota) with insurance-billed medical dermatology and Mohs surgery alongside cash-pay cosmetic, laser, and hair restoration services.

Ownership category

akta.pro rank

Product category

Medical Dermatology & Aesthetic Services

NAICS

Offices of Physicians (62111), Beauty Salons (812112)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

General & Medical Dermatology (HLAKACAA)

akta.pro secondary industries

Procedural Dermatology (Office-Based Surgery) (HLAKACAG), Cosmetic Dermatology (Aesthetic Injectables) (HLAKACAE), Dermatopathology (HLAKACAC), Dermocosmetics & Medical-Grade Skincare (CRABAAAF), Professional Skincare & Facial Treatments (CRABALAF), Medical-Grade / Clinical Facials (Dermatology & Med Spa) (HSALADAN)

Keywords

• Medical dermatology
• Cosmetic aesthetics
• Mohs surgery
• Laser skin treatments
• Dermatology clinic

Headquarters

HQ city

Billings

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure, Supply Chain

Revenue model

1. Medical Dermatology Services: Comprehensive dermatology services including skin exams, skin cancer treatment, Mohs surgery, and medical dermatology for conditions like psoriasis, eczema, rosacea, and acne. Services are primarily billed to Medicare Part B, Medicare supplements, and commercial insurance plans (as Rocky Mountain Health Network members). Pathology/lab work is billed separately.
2. Cosmetic/Aesthetic Services: Cash-pay cosmetic procedures including Botox/Dysport injections, dermal fillers, laser treatments, facials, chemical peels, microblading, body contouring, and skin tightening. Services require payment at time of service. Includes loyalty programs and package pricing for ongoing treatments.
3. Skincare Products Retail: Sale of medical-grade skincare products including Epionce, Colorescience, EltaMD, Eminence, SkinCeuticals, Nutrafol, Revitalash, and others. Products sold in-office and through affiliate links. Offers $10 flat-rate shipping for orders under $100, free shipping for orders $100+.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels10 records

Core offering

Billings Dermatology & Aesthetics is a physician-led dermatology and medical aesthetics practice that delivers medical dermatology care (skin examinations, skin cancer treatment, Mohs micrographic surgery, and management of inflammatory and infectious skin conditions) alongside a full-service Aesthetics Clinic offering injectables (Botox/Dysport, dermal fillers), advanced laser treatments, body contouring, skin rejuvenation, hair restoration, and medical-grade skincare products. Services are delivered by a triple board-certified dermatologist, board-certified physician assistants, and licensed estheticians at a main Billings clinic and five outreach locations across Montana and Wyoming.

Product overview

Billings Dermatology & Aesthetics operates as a dual-service medical and aesthetic practice led by Board-Certified Dermatologist Dr. Tanya Riddle. The practice combines traditional medical dermatology services (skin disease diagnosis and treatment, Mohs micrographic surgery) with a comprehensive Aesthetics Clinic offering cosmetic procedures. The core medical offerings include treatment of inflammatory conditions, infections, benign growths, and skin cancer surgery. The aesthetics division provides an integrated suite of treatments spanning laser procedures (Fraxel Dual, V-Beam Perfecta, Nordlys IPL, GentleMax Pro Plus), injectables (Botox, Dysport, Juvederm, Restylane, Sculptra), body contouring (SculpSure), skin rejuvenation (HydraFacial, micro-needling, PRF, PDGF, chemical peels, Pelleve), hair restoration (PRF, PDGF, HairMetrix AI analysis), and semi-permanent makeup (microblading). The practice also maintains a retail skincare product line featuring medical-grade brands including Epionce, SkinCeuticals, Colorescience, EltaMD, and Nutrafol.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Dermatology Services Comprehensive medical dermatology services diagnosing and treating inflammatory skin conditions (psoriasis, eczema, rosacea, acne, dermatitis), infections (herpes, nail fungus, ringworm, shingles, cellulitis), benign growths (warts, cysts, skin tags, moles), and precancerous/cancerous growths. Includes oral/topical medications, biopsies, and skin examinations.
• Mohs Micrographic Surgery Specialized skin cancer removal technique under microscopic control to ensure complete cancer eradication while preserving maximum healthy tissue. Achieves 98-99% cure rate. Performed by triple board-certified dermatologist Dr. Tanya Riddle, with over 400 cases performed annually.
• Botox & Dermal Filler Injections Injectable cosmetic treatments including neurotoxins (Botox, Dysport) for wrinkle reduction and dermal fillers (Juvederm Vollure, Volbella, Voluma XC, XC Ultra Plus, Volux XC; Restylane L, Kysse, Refyne; Sculptra) for volume restoration and facial contouring. Administered by board-certified Physician Assistants.
• Laser Treatments Advanced laser dermatology treatments including Fraxel Dual 1550/1927 for skin resurfacing, V-Beam Perfecta for redness and rosacea, Nordlys IPL for photorejuvenation, GentleMax Pro Plus for permanent hair reduction, and pigmented lesion treatments. Performed under board-certified dermatologist supervision.
• SculpSure Body Contouring FDA-cleared, non-invasive light-based body contouring treatment that destroys up to 24% of treated fat in 25-minute procedures with no downtime. Targets stubborn fat in abdomen and love handles.
• HydraFacial Treatments

Quantifiable outcome

• Mohs surgery 98-99% cure rate for skin cancer
• +3 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability2 records

Feature6 records

Partnerships

One partnership is on record.

• War on Melanoma / Start Seeing MelanomaminorOthersBillings Dermatology & Aesthetics supports the Start Seeing Melanoma movement presented by The War on Melanoma. This is an all-fronts public health effort to eliminate melanoma as a cause of death, focusing on early detection to improve survivorship. Led by Sancy Leachman, MD, Ph.D. at OHSU. Practice participates in patient education and awareness efforts.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Westlake Dermatology & Cosmetic Surgery: Multi-location Texas-based dermatology and aesthetics practice combining medical dermatology, Mohs surgery, cosmetic injectables, lasers, and medical-grade skincare retail — directly comparable service mix and operating model to Billings Dermatology & Aesthetics.
• Apex Dermatology & Skin Surgery Center: Mid-Atlantic physician-led dermatology group offering medical dermatology, Mohs surgery, and aesthetic services including injectables, lasers, and skincare retail — comparable independent-practice model with similar clinical service mix.
• Riverchase Dermatology: Florida-based private dermatology practice group offering medical, surgical (including Mohs), and cosmetic/aesthetic services across multiple offices — closely comparable independent-practice structure with similar service breadth.

Broad incumbents

• Schweiger Dermatology Group: Large multi-site dermatology platform across the Northeast offering medical, surgical, and cosmetic dermatology at scale — comparable service offering but materially larger footprint and corporate backing.
• Forefront Dermatology: Midwest-anchored large dermatology network offering medical, surgical, and cosmetic services across many clinics — similar multi-site independent practice structure with broader geographic footprint.
• Advanced Dermatology & Cosmetic Surgery: Large multi-state dermatology group covering general medical, Mohs, cosmetic, and aesthetics services — directly comparable in service scope but with a corporate/PE-backed footprint and broader geographic reach.
• U.S. Dermatology Partners: National dermatology group practice platform operating full-service medical, surgical, and cosmetic dermatology clinics across multiple states — overlapping service offering with broader geographic and capital scale.

Emerging players

• Ideal Image: National med-spa chain offering cash-pay aesthetic services including Botox, fillers, laser hair removal, and body contouring — overlapping cash-pay aesthetics patient base and competing for cosmetic revenue at the practice.
• LaserAway: National aesthetic services chain specializing in laser hair removal, body contouring, injectables, and skin treatments — directly competitive on cash-pay aesthetics and a meaningful threat to cosmetic pricing power.

Regional players

• The Dermatology Specialists: New York City-focused high-volume dermatology practice offering medical and cosmetic services at scale — comparable clinical offerings but operating in an urban Northeast geography versus the rural Montana/Wyoming market.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/billingsdermatology
• Instagraminstagram.com/billings_aesthetics_clinic

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Billings Dermatology & Aesthetics