Antezana, Mauricio
Antezana, Mauricio was paid $964.87 by Medicaid between Sep 2022 and Sep 2022, across 2 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 100% of everything it billed.
33Billing provider infoANTEZANA, MAURICIO
ATLANTIS, FL 33462
ATLANTIS, FL 33462
33aNPI1063876399assigned 04/12/2016
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$964.87
24GClaims33
24DCodes billed2
24AFirst – last monthSep 2022 – Sep 2022
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Florida
Rank by total paid#85 of 110
Median peer was paid$7K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 33 | $964.87 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 100% | 17 | 17 | $964.87 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 16 | 16 | $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.