Dental
Montalvo Olvera, Elda
Montalvo Olvera, Elda was paid $261K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoMONTALVO OLVERA, ELDA
SABANA GRANDE, PR 00637
SABANA GRANDE, PR 00637
33aNPI1588792857assigned 03/01/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$261K
24GClaims13,525
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#148 of 551
Median peer was paid$99K
This provider vs. median2.6×
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 | 1,826 | $32K | |
| 2019 | 2,888 | $56K | |
| 2020 | 1,207 | $25K | |
| 2021 | 2,098 | $38K | |
| 2022 | 1,108 | $25K | |
| 2023 | 1,447 | $27K | |
| 2024incomplete | 2,951 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 3,312 | 2,889 | $84K |
| D1999 | 15% | 2,772 | 2,294 | $40K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,950 | 2,584 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.4% | 1,213 | 1,032 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 7.0% | 1,344 | 1,099 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | 6.2% | 351 | 265 | $16K |
| D0210 | Intraoral - complete series of radiographic images | 5.9% | 374 | 317 | $15K |
| D2140 | 4.3% | 440 | 266 | $11K | |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 530 | 434 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.1% | 171 | 122 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 68 | 49 | $390.86 |
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.