Dental
Monroy, Phillip
Monroy, Phillip was paid $1.06M by Medicaid between Jan 2018 and Sep 2020, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 25% of everything it billed.
33Billing provider infoMONROY, PHILLIP
MUSKEGON, MI 49441
MUSKEGON, MI 49441
33aNPI1558341263assigned 01/19/2006
33bProvider typeDentist
28Total paid$1.06M
24GClaims21,519
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#68 of 1,033
Median peer was paid$15K
This provider vs. median71×
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 | 8,343 | $404K | |
| 2019 | 8,364 | $415K | |
| 2020 | 4,812 | $244K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 25% | 1,419 | 697 | $264K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 3,869 | 3,864 | $155K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,883 | 3,878 | $126K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.5% | 1,040 | 510 | $90K |
| D7140 | Extraction, erupted tooth or exposed root | 6.9% | 914 | 513 | $73K |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 944 | 938 | $57K |
| D1206 | Topical application of fluoride varnish | 5.3% | 2,102 | 2,099 | $56K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 1,860 | 1,858 | $51K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.0% | 383 | 198 | $42K |
| D0272 | Bitewings - two radiographic images | 3.9% | 1,660 | 1,657 | $41K |
| D1351 | Sealant - per tooth | 2.1% | 738 | 274 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 1,039 | 1,030 | $19K |
10 more codes
| D1110 | Prophylaxis - adult | 1.5% | 366 | $16K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.5% | 125 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 757 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 109 | $6K |
| D2140 | <1% | 77 | $6K | |
| D0274 | Bitewings - four radiographic images | <1% | 134 | $5K |
| D0330 | Panoramic radiographic image | <1% | 41 | $3K |
| D9420 | <1% | 14 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 18 | $2K |
| D9248 | <1% | 27 | $1K |
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.