Dental
Montero, Sandorf
Montero, Sandorf was paid $4K by Medicaid between Oct 2023 and Oct 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 76% of everything it billed.
33Billing provider infoMONTERO, SANDORF
HIALEAH GARDENS, FL 33018
HIALEAH GARDENS, FL 33018
33aNPI1609494137assigned 07/10/2020
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$4K
24GClaims1,454
24DCodes billed9
24AFirst – last monthOct 2023 – Oct 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Florida
Rank by total paid#50 of 58
Median peer was paid$134K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 269 | $2K | |
| 2024incomplete | 1,185 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 76% | 213 | 209 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 21% | 14 | 14 | $963.37 |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 228 | 224 | $50.33 |
| D0274 | Bitewings - four radiographic images | <1% | 120 | 119 | $42.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 214 | 211 | $0.00 |
| D1330 | 0% | 291 | 286 | $0.00 | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 173 | 171 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 158 | 156 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 43 | 42 | $0.00 |
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.