Dental
Montclair Plaza Dental Group
Montclair Plaza Dental Group was paid $387K by Medicaid between Jan 2018 and Aug 2021, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.
33Billing provider infoMONTCLAIR PLAZA DENTAL GROUP
MONTCLAIR, CA 91763
MONTCLAIR, CA 91763
33aNPI1134332703assigned 05/08/2007
33bProvider typePediatric Dentist
28Total paid$387K
24GClaims21,271
24DCodes billed18
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#177 of 332
Median peer was paid$450K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2018 | 6,305 | $100K | |
| 2019 | 7,191 | $138K | |
| 2020 | 4,600 | $91K | |
| 2021 | 3,175 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 2,059 | 2,056 | $84K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 997 | 512 | $65K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 2,167 | 2,137 | $63K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 9,547 | 2,383 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.9% | 541 | 537 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 2,243 | 2,235 | $22K |
| D0274 | Bitewings - four radiographic images | 5.4% | 1,026 | 1,024 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 1,166 | 1,157 | $13K |
| D1110 | Prophylaxis - adult | 2.9% | 132 | 131 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 199 | 113 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 178 | 175 | $8K |
| D1351 | Sealant - per tooth | 1.9% | 340 | 82 | $7K |
6 more codes
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.
From NPPES
Who's on the registration
Authorized officialPATEL, VIJAY (OWNER/DDS)
| Provider | Location | Paid |
|---|---|---|
| Lone Star Dental and Braces, PLLC | Ft Worth, TX | $2.44M |
| Raritan Bay Primary Care & Cardiology Associates, PA | Matawan, NJ | $1.73M |
| Acme Health Services, INC | Indianapolis, IN | $1.00M |
| Wayne Primary Care | Wayne, MI | $347K |
| Visiting Physicians Services | Northville, MI | $18K |
| Vijay B. Patel | San Bernardino, CA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.