Dental
Pantego Dentist, PLLC
Pantego Dentist, PLLC was paid $38K by Medicaid between Jan 2018 and Nov 2019, across 11 billing codes. Its largest line is D1351, Sealant - per tooth — 25% of everything it billed.
33Billing provider infoPANTEGO DENTIST, PLLC
ARLINGTON, TX 76013
ARLINGTON, TX 76013
33aNPI1447638077assigned 05/14/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$38K
24GClaims1,912
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,434 of 2,774
Median peer was paid$43K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2018 | 1,094 | $22K | |
| 2019 | 818 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 25% | 338 | 38 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 85 | 27 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 121 | 119 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 106 | 104 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 9.6% | 254 | 251 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.7% | 300 | 236 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 5.9% | 255 | 249 | $2K |
| D0330 | Panoramic radiographic image | 5.7% | 58 | 57 | $2K |
| D0272 | Bitewings - two radiographic images | 3.2% | 73 | 71 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 14 | 13 | $379.54 |
| D0603 | 0% | 308 | 304 | $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 officialSTEVENS, MICHAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Dayton Arthritis and Allergy Center LLC | Dayton, OH | $62K |
| Marshall-Kloene Orthopedics, INC. | Maumee, OH | $9K |
| East Penn Podiatry Associates LLC | Kutztown, PA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.