Montgomery, Tyrus

Montgomery, Tyrus was paid $62K by Medicaid between Jun 2020 and Nov 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 53% of everything it billed.

33Billing provider infoMONTGOMERY, TYRUS
BOWIE, MD 20715

33aNPI1871714766assigned 05/01/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$62K

24GClaims1,306

24DCodes billed5

24AFirst – last monthJun 2020 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Maryland

Rank by total paid#269 of 598

Median peer was paid$42K

This provider vs. median1.5×

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	74	$2K
2021	126	$4K
2022	142	$4K
2023	475	$26K
2024incomplete	489	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	53%	581	572	$33K
D0150	Comprehensive oral evaluation - new or established patient	22%	314	311	$13K
D0330	Panoramic radiographic image	18%	255	254	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	6.8%	143	143	$4K
D0140	Limited oral evaluation - problem focused	<1%	13	13	$614.38

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.