Dental
Patrick R. Montgomery, D.D.S.
Patrick R. Montgomery, D.D.S. was paid $58K by Medicaid between Oct 2021 and Jan 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.
33Billing provider infoPATRICK R. MONTGOMERY, D.D.S.
LAWTON, OK 73505
LAWTON, OK 73505
33aNPI1649339862assigned 12/06/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$58K
24GClaims2,125
24DCodes billed5
24AFirst – last monthOct 2021 – Jan 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#179 of 284
Median peer was paid$172K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2021 | 163 | $4K | |
| 2022 | 878 | $24K | |
| 2023 | 988 | $28K | |
| 2024incomplete | 96 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 47% | 596 | 596 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 613 | 613 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 633 | 633 | $10K |
| D0274 | Bitewings - four radiographic images | 14% | 271 | 271 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $358.00 |
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 officialMONTGOMER, PATRICK (DR.)