Dental
Vantassell, Elizabeth
Vantassell, Elizabeth was paid $792.00 by Medicaid between Oct 2018 and Oct 2018, across 1 billing code. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 100% of everything it billed.
33Billing provider infoVANTASSELL, ELIZABETH
PETALUMA, CA 94952
PETALUMA, CA 94952
33aNPI1467443010assigned 11/02/2005
33bProvider typeDentist
28Total paid$792.00
24GClaims12
24DCodes billed1
24AFirst – last monthOct 2018 – Oct 2018
Compared with peers
Next to other Dentist providers in California
Rank by total paid#2,177 of 2,314
Median peer was paid$185K
This provider vs. median0.0×
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 | 12 | $792.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 100% | 12 | 12 | $792.00 |
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.