Jolly, Monica

Jolly, Monica was paid $65K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.

33Billing provider infoJOLLY, MONICA
SOUTH RICHMOND HILL, NY 11419

33aNPI1649527250assigned 08/14/2012

33bProvider typeGeneral Practice Dentistry

28Total paid$65K

24GClaims4,039

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,017 of 2,184

Median peer was paid$54K

This provider vs. median1.2×

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	707	$10K
2019	866	$13K
2020	166	$2K
2022	154	$3K
2023	683	$13K
2024incomplete	1,463	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	32%	624	624	$21K
D0274	Bitewings - four radiographic images	22%	795	795	$14K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	696	696	$12K
D0220	Intraoral - periapical first radiographic image	13%	996	994	$8K
D0230	Intraoral - periapical each additional radiographic image	7.9%	645	644	$5K
D0150	Comprehensive oral evaluation - new or established patient	4.3%	144	144	$3K
D1120	Dental cleaning, childProphylaxis - child	1.6%	49	49	$1K
D1208	Topical application of fluoride, excluding varnish	<1%	49	49	$332.45
D0140	Limited oral evaluation - problem focused	<1%	29	28	$275.73
D0210	Intraoral - complete series of radiographic images	<1%	12	12	$7.59

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.