Physician
Montazem, Andre
Montazem, Andre was paid $120K by Medicaid between Jan 2024 and May 2024, across 9 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 26% of everything it billed.
33Billing provider infoMONTAZEM, ANDRE
NEW YORK, NY 10029
NEW YORK, NY 10029
33aNPI1740242437assigned 04/06/2006
33bProvider typeOral & Maxillofacial Surgery (D.M.D.)
28Total paid$120K
24GClaims2,129
24DCodes billed9
24AFirst – last monthJan 2024 – May 2024
Compared with peers
Next to other Oral & Maxillofacial Surgery (D.M.D.) providers in New York
Rank by total paid#12 of 27
Median peer was paid$110K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2024incomplete | 2,129 | $120K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 26% | 503 | 155 | $31K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 23% | 396 | 203 | $27K |
| D7240 | Removal of impacted tooth - completely bony | 17% | 99 | 39 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 9.9% | 234 | 95 | $12K |
| D9222 | 9.8% | 205 | 203 | $12K | |
| D7230 | 5.1% | 45 | 30 | $6K | |
| D0330 | Panoramic radiographic image | 4.3% | 308 | 308 | $5K |
| D9310 | 2.6% | 148 | 148 | $3K | |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 191 | 191 | $2K |
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.