Pagan, Marangeli

Pagan, Marangeli was paid $165K by Medicaid between Oct 2020 and Nov 2021, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.

33Billing provider infoPAGAN, MARANGELI
FORT RILEY, KS 66442

33aNPI1194149294assigned 02/10/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$165K

24GClaims6,073

24DCodes billed18

24AFirst – last monthOct 2020 – Nov 2021

Compared with peers

Next to other General Practice Dentistry providers in Kansas

Rank by total paid#58 of 203

Median peer was paid$40K

This provider vs. median4.1×

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
2020	673	$18K
2021	5,400	$147K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	19%	883	883	$31K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	15%	468	249	$25K
D0274	Bitewings - four radiographic images	12%	726	725	$20K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	908	907	$18K
D7140	Extraction, erupted tooth or exposed root	9.3%	273	122	$15K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	9.1%	256	143	$15K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.2%	196	96	$9K
D0220	Intraoral - periapical first radiographic image	3.8%	802	801	$6K
D0230	Intraoral - periapical each additional radiographic image	3.8%	757	756	$6K
D0150	Comprehensive oral evaluation - new or established patient	3.5%	291	291	$6K
D0210	Intraoral - complete series of radiographic images	3.0%	113	113	$5K
D2332		1.7%	53	25	$3K

6 more codes

D2330		1.4%	53	$2K
D0601		<1%	86	$860.00
D1330		<1%	158	$775.00
D1208	Topical application of fluoride, excluding varnish	<1%	26	$474.00
D0330	Panoramic radiographic image	<1%	12	$451.40
D1120	Dental cleaning, child	<1%	12	$360.00

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.