Dental
Montoyo Rosario, Daisy
Montoyo Rosario, Daisy was paid $250K by Medicaid between Apr 2019 and Jun 2021, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoMONTOYO ROSARIO, DAISY
WELLINGTON, FL 33449
WELLINGTON, FL 33449
33aNPI1891156238assigned 03/13/2016
33bProvider typePediatric Dentist
28Total paid$250K
24GClaims9,232
24DCodes billed16
24AFirst – last monthApr 2019 – Jun 2021
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#95 of 246
Median peer was paid$107K
This provider vs. median2.3×
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 | 4,687 | $132K | |
| 2020 | 3,918 | $104K | |
| 2021 | 627 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 1,055 | 1,052 | $42K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,401 | 1,397 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 492 | 237 | $33K |
| D1110 | Prophylaxis - adult | 11% | 603 | 599 | $26K |
| D1351 | Sealant - per tooth | 8.5% | 563 | 138 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 7.8% | 1,645 | 1,627 | $20K |
| D0274 | Bitewings - four radiographic images | 5.7% | 628 | 625 | $14K |
| D1206 | Topical application of fluoride varnish | 5.3% | 486 | 484 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.2% | 289 | 140 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 923 | 921 | $12K |
| D0272 | Bitewings - two radiographic images | 4.1% | 662 | 660 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 106 | 71 | $5K |
4 more codes
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.