Dental
Gontarz, Peter
Gontarz, Peter was paid $149K by Medicaid between May 2018 and Jul 2020, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 13% of everything it billed.
33Billing provider infoGONTARZ, PETER
SAINT ANN, MO 63074
SAINT ANN, MO 63074
33aNPI1295265320assigned 06/12/2017
33bProvider typeDentist
28Total paid$149K
24GClaims5,963
24DCodes billed11
24AFirst – last monthMay 2018 – Jul 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#121 of 284
Median peer was paid$109K
This provider vs. median1.4×
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 | 1,633 | $48K | |
| 2019 | 3,350 | $79K | |
| 2020 | 980 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 797 | 788 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 320 | 204 | $20K |
| D1110 | Prophylaxis - adult | 12% | 714 | 707 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 505 | 492 | $17K |
| D0274 | Bitewings - four radiographic images | 11% | 895 | 888 | $17K |
| D0330 | Panoramic radiographic image | 11% | 520 | 509 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 309 | 125 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 8.7% | 1,232 | 1,210 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.7% | 521 | 511 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 93 | 81 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 57 | 56 | $459.00 |
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.