Dental
Montoya, Jonathan
Montoya, Jonathan was paid $130K by Medicaid between Sep 2020 and Feb 2021, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoMONTOYA, JONATHAN
OCALA, FL 34476
OCALA, FL 34476
33aNPI1801413265assigned 07/01/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$130K
24GClaims4,926
24DCodes billed18
24AFirst – last monthSep 2020 – Feb 2021
Compared with peers
Next to other General Practice Dentistry providers in Florida
Rank by total paid#148 of 568
Median peer was paid$24K
This provider vs. median5.4×
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 | |
|---|---|---|---|
| 2020 | 3,635 | $96K | |
| 2021 | 1,291 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 528 | 472 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 585 | 525 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 517 | 460 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | 8.6% | 151 | 123 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 171 | 120 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 499 | 473 | $10K |
| D1110 | Prophylaxis - adult | 6.2% | 210 | 198 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 6.0% | 287 | 275 | $8K |
| D0274 | Bitewings - four radiographic images | 4.3% | 356 | 323 | $6K |
| D4341 | 3.7% | 29 | 15 | $5K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.5% | 72 | 64 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 610 | 551 | $3K |
6 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 85 | $3K |
| D1351 | Sealant - per tooth | 2.1% | 38 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 161 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.6% | 32 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 502 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 93 | $855.40 |
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.