Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HERO DENTAL OF ESSEX PC-RONALD B MONTANO DDS

NPI: 1639449267 · ESSEX, MD 21221 · General Practice Dentistry · NPI assigned 01/12/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official URBANOZO, SHAUN controls 20+ related entities in our dataset. Read more

$7.08M
Total Medicaid Paid
208,942
Total Claims
179,202
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialURBANOZO, SHAUN (CREDENTIALING MANAGER)
NPI Enumeration Date01/12/2012

Related Entities

Other providers sharing the same authorized official: URBANOZO, SHAUN

ProviderCityStateTotal Paid
MISNER DENTAL CORP HUNTINGTON PARK CA $21.95M
ACADEMY KIDS DENTAL CENTER PC COLORADO SPRINGS CO $20.71M
HERO DENTAL OF DENVER PC DENVER CO $20.64M
HERO DENTAL OF WASHINGTON DC PC WASHINGTON DC $19.23M
CAPTAIN SMILES OF GREELEY PC GREELEY CO $18.75M
TWIN LAKES DENTAL PA WICHITA KS $16.74M
MONTANO DDS DENTAL CENTER PC BALTIMORE MD $16.50M
HERO VISION OF GREELEY LLC GREELEY CO $15.43M
HERO DENTAL OF LANDOVER HILLS PC - RONALD B MONTANO DDS LANDOVER HILLS MD $14.45M
HERO DENTAL OF AURORA PC AURORA CO $13.98M
HERO DENTAL OF SPRINGS PC COLORADO SPRINGS CO $13.58M
HERO DENTAL OF ALBUQUERQUE PC ALBUQUERQUE NM $13.55M
RONALD B MONTANO DDS PC BALTIMORE MD $12.21M
HERO VISION OF LONGMONT, LLC LONGMONT CO $11.88M
COUNTRY CLUB DENTAL PA TOPEKA KS $11.68M
HERO DENTAL OF WASHINGTON DC PC WASHINGTON DC $11.68M
R. MISNER DENTAL CORPORATION GLENDALE CA $10.86M
PARKLANE DENTAL PA WICHITA KS $10.35M
HERO DENTAL OF SPRINGS PC COLORADO SPRINGS CO $9.33M
PEDIATRIC DENTAL GROUP II, LLC TULSA OK $8.51M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29,927 $1.11M
2019 35,937 $1.18M
2020 19,158 $620K
2021 31,548 $1.09M
2022 28,657 $965K
2023 31,946 $1.06M
2024 31,769 $1.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 26,044 25,628 $1.13M
D1351 Sealant - per tooth 31,272 8,220 $1.06M
D1206 Topical application of fluoride varnish 33,978 33,446 $841K
D0120 Periodic oral evaluation - established patient 28,193 27,748 $830K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5,693 3,990 $700K
D1110 Prophylaxis - adult 6,980 6,871 $418K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 2,434 1,810 $381K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3,024 2,198 $281K
D0272 Bitewings - two radiographic images 13,889 13,648 $210K
D0274 Bitewings - four radiographic images 9,033 8,907 $203K
D0150 Comprehensive oral evaluation - new or established patient 3,168 3,125 $166K
D0330 Panoramic radiographic image 3,441 3,404 $146K
D0220 Intraoral - periapical first radiographic image 9,712 9,516 $102K
D2930 Prefabricated stainless steel crown - primary tooth 656 442 $102K
D1330 15,976 15,686 $98K
D7140 Extraction, erupted tooth or exposed root 872 640 $96K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4,695 4,369 $86K
D0140 Limited oral evaluation - problem focused 1,893 1,848 $84K
D0145 Oral evaluation for a patient under three years of age 1,838 1,805 $76K
D0230 Intraoral - periapical each additional radiographic image 4,920 4,853 $33K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 367 267 $22K
D3120 287 219 $10K
D0273 356 353 $6K
D0270 184 184 $2K
D7111 37 25 $999.00