Calsimitto, Donna

Calsimitto, Donna was paid $1K by Medicaid between Dec 2019 and Feb 2020, across 4 billing codes. Its largest line is D9110, — 32% of everything it billed.

33Billing provider infoCALSIMITTO, DONNA
EAST BOSTON, MA 02128

33aNPI1083721112assigned 08/24/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$1K

24GClaims107

24DCodes billed4

24AFirst – last monthDec 2019 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Massachusetts

Rank by total paid#624 of 693

Median peer was paid$87K

This provider vs. median0.0×

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
2019	20	$224.00
2020	87	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9110		32%	16	12	$460.20
D0220	Intraoral - periapical first radiographic image	29%	43	26	$408.80
D0230	Intraoral - periapical each additional radiographic image	23%	32	13	$331.20
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	16	13	$230.00

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.