Montealegre, Manuel

Montealegre, Manuel was paid $125K by Medicaid between Oct 2022 and Dec 2023, across 15 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 39% of everything it billed.

33Billing provider infoMONTEALEGRE, MANUEL
MURFREESBORO, TN 37130

33aNPI1134275514assigned 01/26/2007

33bProvider typeDentist

28Total paid$125K

24GClaims2,830

24DCodes billed15

24AFirst – last monthOct 2022 – Dec 2023

Compared with peers

Next to other Dentist providers in Tennessee

Rank by total paid#140 of 242

Median peer was paid$164K

This provider vs. median0.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2022	358	$1K
2023	2,472	$124K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2740	Crown - porcelain/ceramic	39%	98	55	$50K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	14%	246	120	$17K
D1110	Prophylaxis - adult	12%	474	390	$15K
D1206	Topical application of fluoride varnish	6.4%	520	431	$8K
D0150	Comprehensive oral evaluation - new or established patient	5.1%	295	246	$6K
D0210	Intraoral - complete series of radiographic images	4.6%	117	113	$6K
D0330	Panoramic radiographic image	4.2%	200	174	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.5%	286	230	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.8%	57	26	$3K
D0274	Bitewings - four radiographic images	2.7%	200	163	$3K
D0140	Limited oral evaluation - problem focused	2.6%	195	169	$3K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.4%	19	15	$2K

3 more codes

D4355		<1%	15	$972.50
D1120	Dental cleaning, child	<1%	45	$566.14
D0220	Intraoral - periapical first radiographic image	<1%	63	$486.78

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.