Dental
Maia Montoya DDS INC
Maia Montoya DDS INC was paid $2.31M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D1110, Prophylaxis - adult — 13% of everything it billed.
33Billing provider infoMAIA MONTOYA DDS INC
LOS ANGELES, CA 90018
LOS ANGELES, CA 90018
33aNPI1578944484assigned 06/16/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$2.31M
24GClaims47,681
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#252 of 2,668
Median peer was paid$173K
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 | 4,720 | $175K | |
| 2019 | 6,113 | $252K | |
| 2020 | 6,955 | $298K | |
| 2021 | 7,730 | $319K | |
| 2022 | 7,724 | $389K | |
| 2023 | 6,926 | $431K | |
| 2024incomplete | 7,513 | $448K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 13% | 3,396 | 3,388 | $295K |
| D4910 | 11% | 3,306 | 3,297 | $254K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 10% | 500 | 328 | $238K |
| D4341 | 8.5% | 2,911 | 834 | $197K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 3,152 | 3,148 | $197K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 2,162 | 2,159 | $138K |
| D2140 | 5.6% | 2,385 | 935 | $130K | |
| D0210 | Intraoral - complete series of radiographic images | 4.7% | 2,299 | 2,294 | $109K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.0% | 1,372 | 654 | $92K |
| D9430 | 3.9% | 2,856 | 2,631 | $91K | |
| D0330 | Panoramic radiographic image | 3.4% | 2,676 | 2,667 | $79K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 4,695 | 4,315 | $73K |
13 more codes
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 5,219 | $71K |
| D0350 | 2.7% | 2,519 | $63K | |
| D1120 | Dental cleaning, child | 2.6% | 1,592 | $61K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.9% | 377 | $45K |
| D0274 | Bitewings - four radiographic images | 1.8% | 1,995 | $43K |
| D4342 | 1.8% | 983 | $41K | |
| D2954 | 1.7% | 375 | $39K | |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 2,012 | $24K |
| D2160 | <1% | 170 | $14K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 162 | $9K |
| D1351 | Sealant - per tooth | <1% | 273 | $6K |
| D1320 | <1% | 282 | $5K | |
| D0272 | Bitewings - two radiographic images | <1% | 12 | $144.00 |
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.
From NPPES
Who's on the registration
Authorized officialMONTOYA, MAIA (OFFICER)