Dental
Montgomery Village Dental CTR
Montgomery Village Dental CTR was paid $2.77M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoMONTGOMERY VILLAGE DENTAL CTR
GAITHERSBURG, MD 20886
GAITHERSBURG, MD 20886
33aNPI1558487413assigned 03/22/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$2.77M
24GClaims57,241
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#18 of 598
Median peer was paid$42K
This provider vs. median67×
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 | 8,719 | $334K | |
| 2019 | 7,219 | $269K | |
| 2020 | 6,001 | $267K | |
| 2021 | 7,501 | $358K | |
| 2022 | 8,002 | $407K | |
| 2023 | 11,274 | $658K | |
| 2024incomplete | 8,525 | $474K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 5,333 | 2,448 | $673K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 20% | 5,556 | 2,364 | $540K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 9,827 | 9,683 | $291K |
| D1110 | Prophylaxis - adult | 10% | 4,670 | 4,589 | $283K |
| D1208 | Topical application of fluoride, excluding varnish | 9.1% | 10,992 | 10,817 | $252K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.7% | 5,588 | 5,506 | $241K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.8% | 838 | 527 | $134K |
| D8670 | Periodic orthodontic treatment visit | 4.1% | 1,512 | 1,476 | $113K |
| D0330 | Panoramic radiographic image | 2.2% | 1,434 | 1,397 | $61K |
| D0274 | Bitewings - four radiographic images | 1.6% | 2,006 | 1,969 | $45K |
| D0272 | Bitewings - two radiographic images | 1.4% | 2,575 | 2,535 | $40K |
| D1330 | 1.1% | 5,169 | 5,071 | $32K |
4 more codes
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.
From NPPES
Who's on the registration
Authorized officialNASELRI, BAHRAM (DENTIST)