Dental
Montandon, Richard
Montandon, Richard was paid $98K by Medicaid between Jan 2019 and Mar 2023, across 6 billing codes. Its largest line is 00170, Anesthesia for intraoral procedures, including biopsy — 36% of everything it billed.
33Billing provider infoMONTANDON, RICHARD
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
33aNPI1164650198assigned 06/29/2009
33bProvider typeDentist
28Total paid$98K
24GClaims284
24DCodes billed6
24AFirst – last monthJan 2019 – Mar 2023
Compared with peers
Next to other Dentist providers in Idaho
Rank by total paid#22 of 89
Median peer was paid$16K
This provider vs. median6.3×
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 | |
|---|---|---|---|
| 2019 | 101 | $20K | |
| 2020 | 139 | $42K | |
| 2022 | 13 | $10K | |
| 2023 | 31 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00170 | Anesthesia for intraoral procedures, including biopsy | 36% | 44 | 44 | $36K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 32% | 80 | 61 | $31K |
| D9999 | Unspecified adjunctive procedure, by report | 27% | 77 | 60 | $26K |
| D9612 | 3.0% | 36 | 36 | $3K | |
| D9222 | 1.3% | 31 | 15 | $1K | |
| D9310 | <1% | 16 | 16 | $872.64 |
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.