Dental
Mathew, Moncy
Mathew, Moncy was paid $437K by Medicaid between Jan 2018 and Jul 2020, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 23% of everything it billed.
33Billing provider infoMATHEW, MONCY
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
33aNPI1841474293assigned 12/20/2007
33bProvider typeDentist
28Total paid$437K
24GClaims15,650
24DCodes billed21
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#63 of 284
Median peer was paid$109K
This provider vs. median4.0×
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 | 5,937 | $210K | |
| 2019 | 7,924 | $190K | |
| 2020 | 1,789 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 23% | 987 | 193 | $100K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,143 | 2,065 | $53K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 1,140 | 1,097 | $44K |
| D1206 | Topical application of fluoride varnish | 9.4% | 2,648 | 2,562 | $41K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 1,467 | 1,424 | $38K |
| D0272 | Bitewings - two radiographic images | 5.6% | 1,431 | 1,386 | $25K |
| D1351 | Sealant - per tooth | 4.9% | 952 | 266 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 1,320 | 684 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 230 | 130 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 1,043 | 981 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 229 | 84 | $11K |
| D0330 | Panoramic radiographic image | 2.3% | 222 | 219 | $10K |
9 more codes
| D0140 | Limited oral evaluation - problem focused | 2.1% | 345 | $9K |
| D0274 | Bitewings - four radiographic images | 2.0% | 340 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 463 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 119 | $7K |
| D1110 | Prophylaxis - adult | 1.4% | 196 | $6K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 170 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 127 | $3K |
| D1510 | <1% | 15 | $2K | |
| D0240 | <1% | 63 | $895.00 |
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.