Dental
Montano, Mark
Montano, Mark was paid $74K by Medicaid between Dec 2018 and Mar 2019, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 12% of everything it billed.
33Billing provider infoMONTANO, MARK
FOUNTAIN, CO 80817
FOUNTAIN, CO 80817
33aNPI1477987279assigned 08/28/2013
33bProvider typeDentist
28Total paid$74K
24GClaims2,140
24DCodes billed18
24AFirst – last monthDec 2018 – Mar 2019
Compared with peers
Next to other Dentist providers in Colorado
Rank by total paid#154 of 344
Median peer was paid$45K
This provider vs. median1.6×
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 | 293 | $10K | |
| 2019 | 1,847 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 12% | 229 | 205 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 62 | 38 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 80 | 36 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 352 | 322 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.8% | 218 | 202 | $7K |
| D1206 | Topical application of fluoride varnish | 7.2% | 328 | 305 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 108 | 98 | $4K |
| D1351 | Sealant - per tooth | 5.1% | 113 | 39 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.6% | 33 | 16 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.5% | 110 | 101 | $3K |
| D0274 | Bitewings - four radiographic images | 3.5% | 92 | 87 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 26 | 12 | $2K |
6 more codes
| D0210 | Intraoral - complete series of radiographic images | 2.9% | 36 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 148 | $2K |
| D0272 | Bitewings - two radiographic images | 1.9% | 70 | $1K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 34 | $1K |
| D0330 | Panoramic radiographic image | 1.4% | 21 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 80 | $997.66 |
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.