Montgomery, Nancy

Montgomery, Nancy was paid $7.10M by Medicaid between Jul 2018 and Apr 2023, across 43 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.

33Billing provider infoMONTGOMERY, NANCY
LARGO, FL 33771

33aNPI1538200282assigned 02/08/2007

33bProvider typePediatric Dentist

28Total paid$7.10M

24GClaims460,721

24DCodes billed43

24AFirst – last monthJul 2018 – Apr 2023

Compared with peers

Next to other Pediatric Dentist providers in Florida

Rank by total paid#3 of 246

Median peer was paid$107K

This provider vs. median66×

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	10,230	$230K
2019	15,472	$274K
2020	62,818	$1.19M
2021	34,552	$554K
2022	263,657	$3.56M
2023	73,992	$1.30M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	23%	36,235	33,134	$1.66M
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16%	15,697	8,765	$1.13M
D1110	Prophylaxis - adult	13%	16,883	15,256	$915K
D0330	Panoramic radiographic image	9.6%	10,096	9,168	$683K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.1%	43,217	39,270	$644K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.6%	10,369	5,972	$401K
D7140	Extraction, erupted tooth or exposed root	4.1%	6,961	3,419	$293K
D2930	Prefabricated stainless steel crown - primary tooth	2.6%	1,176	711	$188K
D0240		2.4%	17,627	10,335	$169K
D0150	Comprehensive oral evaluation - new or established patient	2.4%	10,034	9,204	$168K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	2.3%	1,361	988	$163K
D1351	Sealant - per tooth	2.0%	22,595	6,037	$141K

31 more codes

D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.3%	18,675	$93K
D7111		<1%	1,869	$66K
D0140	Limited oral evaluation - problem focused	<1%	3,419	$47K
D0274	Bitewings - four radiographic images	<1%	11,637	$41K
D0272	Bitewings - two radiographic images	<1%	33,945	$38K
D0210	Intraoral - complete series of radiographic images	<1%	513	$37K
D0220	Intraoral - periapical first radiographic image	<1%	38,289	$34K
D9999	Unspecified adjunctive procedure, by report	<1%	1,382	$28K
D1999		<1%	9,414	$22K
D1510		<1%	103	$18K
D0230	Intraoral - periapical each additional radiographic image	<1%	35,694	$16K
D9248		<1%	306	$15K
D1330		<1%	53,671	$15K
D1517		<1%	58	$12K
D2330		<1%	214	$10K
D0999	Unspecified diagnostic procedure, by report	<1%	475	$10K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	<1%	636	$9K
D2332		<1%	176	$9K
D1206	Topical application of fluoride varnish	<1%	52,715	$7K
D2390		<1%	40	$7K
D2335		<1%	16	$2K
D4346		<1%	32	$580.67
D1208	Topical application of fluoride, excluding varnish	<1%	490	$509.89
D3120		<1%	865	$448.45
D0603		<1%	2,405	$395.11
D0601		<1%	807	$359.57
D0145	Oral evaluation for a patient under three years of age	<1%	32	$195.08
D9310		<1%	82	$78.74
D0602		<1%	410	$3.00
D0270		0%	86	$0.00
D9420		0%	14	$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.