Dental
Monticello Family Dental Care LLC
Monticello Family Dental Care LLC was paid $1.36M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 29% of everything it billed.
33Billing provider infoMONTICELLO FAMILY DENTAL CARE LLC
BATON ROUGE, LA 70814
BATON ROUGE, LA 70814
33aNPI1568706422assigned 11/16/2012
33bProvider typeDentist
28Total paid$1.36M
24GClaims32,055
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Louisiana
Rank by total paid#34 of 251
Median peer was paid$103K
This provider vs. median13×
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 | 8,283 | $349K | |
| 2019 | 8,426 | $330K | |
| 2020 | 5,588 | $239K | |
| 2021 | 3,445 | $143K | |
| 2022 | 2,253 | $109K | |
| 2023 | 2,078 | $81K | |
| 2024incomplete | 1,982 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 29% | 4,276 | 1,739 | $393K |
| D2160 | 13% | 1,664 | 880 | $182K | |
| D1110 | Prophylaxis - adult | 10% | 2,999 | 2,961 | $142K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 4,920 | 4,894 | $137K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.4% | 3,092 | 2,795 | $114K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.8% | 2,564 | 2,550 | $92K |
| D1208 | Topical application of fluoride, excluding varnish | 6.0% | 3,985 | 3,969 | $81K |
| D0272 | Bitewings - two radiographic images | 5.4% | 3,679 | 3,609 | $73K |
| D2140 | 2.6% | 651 | 391 | $36K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 778 | 728 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 401 | 189 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 1,875 | 1,807 | $24K |
5 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 officialNGUYEN, THUONG - TRI (OWNER)