Anthony Dicostanzo DDS PC

Anthony Dicostanzo DDS PC was paid $19K by Medicaid between Apr 2019 and Dec 2023, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 79% of everything it billed.

33Billing provider infoANTHONY DICOSTANZO DDS PC
DYER, IN 46311

33aNPI1306227129assigned 06/17/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$19K

24GClaims586

24DCodes billed5

24AFirst – last monthApr 2019 – Dec 2023

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#467 of 723

Median peer was paid$60K

This provider vs. median0.3×

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	115	$3K
2020	83	$2K
2021	189	$7K
2022	112	$4K
2023	87	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	79%	375	296	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	148	123	$3K
D0150	Comprehensive oral evaluation - new or established patient	2.7%	14	13	$514.75
D0274	Bitewings - four radiographic images	2.2%	16	15	$432.59
D1999		0%	33	27	$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.

From NPPES

Who's on the registration

Authorized officialBENNE, MARTI (OFFICE MANANGER)