Clinic
Montebello Dental Arts Dba Montebello Family Dental
Montebello Dental Arts Dba Montebello Family Dental was paid $1.28M by Medicaid between Dec 2019 and Dec 2024, across 21 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 27% of everything it billed.
33Billing provider infoMONTEBELLO DENTAL ARTS DBA MONTEBELLO FAMILY DENTAL
MONTEBELLO, CA 90640
MONTEBELLO, CA 90640
33aNPI1770042616assigned 03/19/2019
33bProvider typeDental Clinic/Center
28Total paid$1.28M
24GClaims37,017
24DCodes billed21
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#207 of 1,135
Median peer was paid$200K
This provider vs. median6.4×
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 | |
|---|---|---|---|
| 2019 | 13 | $858.00 | |
| 2020 | 2,324 | $82K | |
| 2021 | 3,451 | $112K | |
| 2022 | 7,507 | $244K | |
| 2023 | 11,082 | $440K | |
| 2024incomplete | 12,640 | $403K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 27% | 737 | 535 | $351K |
| D0350 | 10% | 13,912 | 3,449 | $133K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.5% | 1,270 | 1,270 | $84K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.3% | 1,210 | 535 | $81K |
| D4341 | 6.3% | 1,153 | 341 | $81K | |
| D2954 | 6.1% | 742 | 539 | $78K | |
| D4910 | 5.5% | 930 | 925 | $71K | |
| D9430 | 5.4% | 2,165 | 1,702 | $69K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 905 | 900 | $65K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 5.0% | 139 | 119 | $64K |
| D0210 | Intraoral - complete series of radiographic images | 4.4% | 1,184 | 1,184 | $57K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.7% | 440 | 229 | $34K |
9 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 7,325 | $30K |
| D0274 | Bitewings - four radiographic images | 1.6% | 983 | $20K |
| D1206 | Topical application of fluoride varnish | 1.5% | 1,628 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 1,279 | $15K |
| D1120 | Dental cleaning, child | 1.1% | 328 | $14K |
| D4342 | <1% | 174 | $7K | |
| D2394 | <1% | 60 | $5K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 27 | $3K |
| D1330 | 0% | 426 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialYAHOODAIN, VAHID (OFFICE ADMINISTRATOR)