Dental
Mondesir, Melissa
Mondesir, Melissa was paid $62K by Medicaid between Jan 2018 and Jul 2024, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.
33Billing provider infoMONDESIR, MELISSA
CLIFTON PARK, NY 12065
CLIFTON PARK, NY 12065
33aNPI1528414455assigned 05/10/2016
33bProvider typePediatric Dentist
28Total paid$62K
24GClaims2,411
24DCodes billed16
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#341 of 514
Median peer was paid$196K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2018 | 1,359 | $31K | |
| 2019 | 687 | $20K | |
| 2022 | 118 | $3K | |
| 2023 | 140 | $5K | |
| 2024incomplete | 107 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 37% | 627 | 627 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 508 | 508 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 8.8% | 416 | 416 | $5K |
| D0272 | Bitewings - two radiographic images | 5.5% | 242 | 242 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 50 | 27 | $3K |
| D1351 | Sealant - per tooth | 1.9% | 40 | 12 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 18 | 12 | $999.00 |
| D1110 | Prophylaxis - adult | 1.3% | 14 | 14 | $783.20 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 16 | 12 | $733.75 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 43 | 43 | $520.55 |
| D1206 | Topical application of fluoride varnish | <1% | 22 | 22 | $498.30 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | 13 | $349.30 |
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.