Dental
Disanta, Donald
Disanta, Donald was paid $37K by Medicaid between May 2021 and Nov 2024, across 6 billing codes. Its largest line is D5110, — 60% of everything it billed.
33Billing provider infoDISANTA, DONALD
SOMERSET, PA 15501
SOMERSET, PA 15501
33aNPI1548320344assigned 12/11/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$37K
24GClaims375
24DCodes billed6
24AFirst – last monthMay 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#425 of 847
Median peer was paid$37K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2021 | 71 | $8K | |
| 2022 | 146 | $4K | |
| 2024incomplete | 158 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D5110 | 60% | 43 | 43 | $22K | |
| D5120 | 19% | 14 | 14 | $7K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 166 | 166 | $3K |
| D1110 | Prophylaxis - adult | 6.5% | 68 | 68 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.5% | 32 | 32 | $1K |
| D1206 | Topical application of fluoride varnish | 2.4% | 52 | 52 | $891.00 |
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.