Montgomery, Charles

Montgomery, Charles was paid $144K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.

33Billing provider infoMONTGOMERY, CHARLES
JACKSON, NJ 08527

33aNPI1720148745assigned 12/11/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$144K

24GClaims7,556

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in New Jersey

Rank by total paid#261 of 790

Median peer was paid$43K

This provider vs. median3.4×

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	1,305	$22K
2019	1,206	$23K
2020	700	$12K
2021	1,118	$19K
2022	1,114	$20K
2023	1,282	$27K
2024incomplete	831	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	42%	2,535	2,526	$60K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	2,372	2,367	$47K
D0140	Limited oral evaluation - problem focused	15%	1,141	1,081	$22K
D0220	Intraoral - periapical first radiographic image	2.7%	974	914	$4K
D0150	Comprehensive oral evaluation - new or established patient	2.6%	154	154	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.0%	61	50	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.8%	78	52	$3K
D0274	Bitewings - four radiographic images	<1%	147	147	$1K
D0230	Intraoral - periapical each additional radiographic image	<1%	68	63	$344.75
D0272	Bitewings - two radiographic images	<1%	26	26	$140.00

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.