Dental
Monsma, Emily
Monsma, Emily was paid $27K by Medicaid between Dec 2020 and May 2021, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 25% of everything it billed.
33Billing provider infoMONSMA, EMILY
CLARKSVILLE, IN 47129
CLARKSVILLE, IN 47129
33aNPI1689935652assigned 06/06/2012
33bProvider typeDentist
28Total paid$27K
24GClaims980
24DCodes billed13
24AFirst – last monthDec 2020 – May 2021
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#263 of 452
Median peer was paid$59K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2020 | 51 | $3K | |
| 2021 | 929 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 25% | 122 | 58 | $7K |
| D1110 | Prophylaxis - adult | 15% | 97 | 96 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 88 | 84 | $4K |
| D0330 | Panoramic radiographic image | 8.6% | 70 | 66 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.5% | 102 | 98 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.8% | 31 | 12 | $2K |
| D0274 | Bitewings - four radiographic images | 7.0% | 91 | 87 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 117 | 114 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.5% | 81 | 80 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 65 | 63 | $318.11 |
| D1206 | Topical application of fluoride varnish | <1% | 21 | 19 | $258.00 |
| D0272 | Bitewings - two radiographic images | <1% | 13 | 13 | $214.76 |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 82 | $154.05 |
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.