Dental
Antolin, Rhea Theresa
Antolin, Rhea Theresa was paid $126K by Medicaid between Dec 2020 and Nov 2024, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 30% of everything it billed.
33Billing provider infoANTOLIN, RHEA THERESA
ROANOKE, TX 76262
ROANOKE, TX 76262
33aNPI1396065504assigned 06/10/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$126K
24GClaims5,820
24DCodes billed17
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#976 of 2,774
Median peer was paid$43K
This provider vs. median2.9×
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 | 17 | $0.00 | |
| 2021 | 1,601 | $41K | |
| 2022 | 1,369 | $27K | |
| 2023 | 1,546 | $35K | |
| 2024incomplete | 1,287 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 30% | 380 | 127 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 586 | 562 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 452 | 429 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 697 | 671 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 530 | 506 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 676 | 640 | $7K |
| D1110 | Prophylaxis - adult | 5.6% | 139 | 135 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 4.3% | 84 | 78 | $5K |
| D1351 | Sealant - per tooth | 4.2% | 216 | 43 | $5K |
| D1206 | Topical application of fluoride varnish | 3.5% | 322 | 313 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 100 | 94 | $3K |
| D0272 | Bitewings - two radiographic images | 1.9% | 103 | 103 | $2K |
5 more codes
| D0145 | Oral evaluation for a patient under three years of age | 1.8% | 19 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 21 | $2K |
| D0274 | Bitewings - four radiographic images | 1.1% | 43 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 25 | $677.75 |
| D0603 | 0% | 1,427 | $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.