Monda, Kimberle

Monda, Kimberle was paid $39K by Medicaid between Nov 2020 and Nov 2021, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.

33Billing provider infoMONDA, KIMBERLE
BELLEVUE, PA 15202

33aNPI1295950764assigned 04/17/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$39K

24GClaims1,411

24DCodes billed10

24AFirst – last monthNov 2020 – Nov 2021

Compared with peers

Next to other General Practice Dentistry providers in Pennsylvania

Rank by total paid#415 of 847

Median peer was paid$37K

This provider vs. median1.1×

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
2020	99	$2K
2021	1,312	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	22%	249	245	$9K
D0330	Panoramic radiographic image	17%	183	177	$7K
D0274	Bitewings - four radiographic images	16%	234	226	$6K
D0150	Comprehensive oral evaluation - new or established patient	12%	243	234	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	11%	71	39	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	10%	213	208	$4K
D1206	Topical application of fluoride varnish	3.5%	81	80	$1K
D1120	Dental cleaning, childProphylaxis - child	3.4%	47	46	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	3.3%	26	13	$1K
D0220	Intraoral - periapical first radiographic image	1.3%	64	60	$512.00

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.