Dental
Montanez Morales, Efrain
Montanez Morales, Efrain was paid $669K by Medicaid between Dec 2019 and Dec 2024, across 13 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 35% of everything it billed.
33Billing provider infoMONTANEZ MORALES, EFRAIN
CAYEY, PR 00736
CAYEY, PR 00736
33aNPI1750707832assigned 03/12/2014
33bProvider typeDentist
28Total paid$669K
24GClaims10,052
24DCodes billed13
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Dentist providers in Puerto Rico
Rank by total paid#23 of 284
Median peer was paid$86K
This provider vs. median7.8×
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 | |
|---|---|---|---|
| 2019 | 24 | $2K | |
| 2020 | 769 | $47K | |
| 2021 | 2,358 | $150K | |
| 2022 | 3,665 | $246K | |
| 2023 | 2,761 | $192K | |
| 2024incomplete | 475 | $31K |
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 | 35% | 2,680 | 1,313 | $233K |
| D7240 | Removal of impacted tooth - completely bony | 15% | 629 | 240 | $100K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 14% | 930 | 744 | $95K |
| D9222 | 11% | 889 | 706 | $77K | |
| D0160 | 10% | 1,932 | 1,737 | $69K | |
| D7230 | 5.4% | 264 | 172 | $36K | |
| D1999 | 4.0% | 1,965 | 1,676 | $27K | |
| D9219 | 2.0% | 372 | 215 | $14K | |
| D7250 | 1.6% | 167 | 82 | $11K | |
| D0330 | Panoramic radiographic image | <1% | 182 | 167 | $6K |
| D7220 | <1% | 17 | 14 | $2K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 12 | 12 | $240.00 |
1 more codes
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13 | $192.79 |
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.