Antonoff, Kenneth

Antonoff, Kenneth was paid $21K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 35% of everything it billed.

33Billing provider infoANTONOFF, KENNETH
KENOSHA, WI 53143

33aNPI1205842721assigned 08/01/2006

33bProvider typeDentist

28Total paid$21K

24GClaims881

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Dentist providers in Wisconsin

Rank by total paid#105 of 185

Median peer was paid$28K

This provider vs. median0.7×

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
2018	13	$62.40
2024incomplete	868	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	35%	90	44	$7K
D0330	Panoramic radiographic image	25%	120	119	$5K
D0140	Limited oral evaluation - problem focused	16%	194	189	$3K
D0150	Comprehensive oral evaluation - new or established patient	7.9%	82	81	$2K
D0220	Intraoral - periapical first radiographic image	7.0%	200	193	$1K
D0274	Bitewings - four radiographic images	4.9%	68	66	$1K
D0230	Intraoral - periapical each additional radiographic image	2.4%	114	98	$497.44
D1110	Prophylaxis - adult	1.7%	13	13	$346.23

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.