Dental
Goncalves, Antonio
Goncalves, Antonio was paid $107K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 66% of everything it billed.
33Billing provider infoGONCALVES, ANTONIO
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1467506881assigned 01/23/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$107K
24GClaims3,095
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Rhode Island
Rank by total paid#41 of 86
Median peer was paid$77K
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 | 426 | $15K | |
| 2019 | 495 | $18K | |
| 2020 | 318 | $9K | |
| 2021 | 472 | $15K | |
| 2022 | 536 | $19K | |
| 2023 | 473 | $17K | |
| 2024incomplete | 375 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 66% | 1,420 | 1,376 | $70K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 1,510 | 1,465 | $33K |
| D0272 | Bitewings - two radiographic images | 2.8% | 124 | 117 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | 12 | $290.00 |
| D1999 | 0% | 29 | 29 | $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.