Dental
Montoya, Stephen
Montoya, Stephen was paid $294K by Medicaid between Jan 2018 and Sep 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 34% of everything it billed.
33Billing provider infoMONTOYA, STEPHEN
QUEEN CREEK, AZ 85243
QUEEN CREEK, AZ 85243
33aNPI1407045636assigned 10/24/2007
33bProvider typePediatric Dentist
28Total paid$294K
24GClaims16,433
24DCodes billed27
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#46 of 223
Median peer was paid$24K
This provider vs. median12×
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 | 305 | $1K | |
| 2019 | 5,202 | $83K | |
| 2020 | 2,362 | $19K | |
| 2021 | 1,593 | $11K | |
| 2022 | 1,364 | $37K | |
| 2023 | 4,528 | $91K | |
| 2024incomplete | 1,079 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 34% | 1,110 | 173 | $99K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 9.5% | 507 | 131 | $28K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.4% | 1,973 | 1,922 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.0% | 1,861 | 1,807 | $18K |
| D1206 | Topical application of fluoride varnish | 5.9% | 2,479 | 2,395 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 385 | 200 | $15K |
| D2934 | 4.6% | 110 | 31 | $13K | |
| D0274 | Bitewings - four radiographic images | 3.9% | 853 | 835 | $11K |
| D1351 | Sealant - per tooth | 3.3% | 669 | 212 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 1,792 | 1,161 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 488 | 481 | $8K |
| D0272 | Bitewings - two radiographic images | 2.6% | 978 | 958 | $8K |
15 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 1,347 | $6K |
| D1110 | Prophylaxis - adult | 2.1% | 287 | $6K |
| D0330 | Panoramic radiographic image | 1.6% | 218 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 126 | $4K |
| D0240 | 1.2% | 504 | $3K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 269 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 29 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 55 | $611.32 |
| D0350 | <1% | 80 | $588.16 | |
| D9248 | <1% | 12 | $152.42 | |
| D9222 | <1% | 19 | $57.95 | |
| D0431 | 0% | 31 | $0.00 | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 0% | 21 | $0.00 |
| D0603 | 0% | 80 | $0.00 | |
| D0602 | 0% | 150 | $0.00 |
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.