Mongelli, Jessica

Mongelli, Jessica was paid $6K by Medicaid between Jan 2018 and May 2018, across 4 billing codes. Its largest line is D4910, — 35% of everything it billed.

33Billing provider infoMONGELLI, JESSICA
HELENA, MT 59601

33aNPI1639212947assigned 02/15/2007

33bProvider typeDentist

28Total paid$6K

24GClaims174

24DCodes billed4

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other Dentist providers in Montana

Rank by total paid#70 of 95

Median peer was paid$38K

This provider vs. median0.2×

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	174	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D4910		35%	34	32	$2K
D4355		32%	28	24	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	86	81	$2K
D1208	Topical application of fluoride, excluding varnish	6.7%	26	25	$393.13

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.