Dafonseca, Marcio

Dafonseca, Marcio was paid $124K by Medicaid between Sep 2023 and Aug 2024, across 5 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 64% of everything it billed.

33Billing provider infoDAFONSECA, MARCIO
COLUMBUS, OH 43205

33aNPI1548353295assigned 10/02/2006

33bProvider typePediatric Dentist

28Total paid$124K

24GClaims404

24DCodes billed5

24AFirst – last monthSep 2023 – Aug 2024

Compared with peers

Next to other Pediatric Dentist providers in Ohio

Rank by total paid#79 of 144

Median peer was paid$140K

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
2023	99	$35K
2024incomplete	305	$89K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2930	Prefabricated stainless steel crown - primary tooth	64%	135	63	$79K
D7140	Extraction, erupted tooth or exposed root	34%	169	61	$42K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.2%	46	46	$2K
D1120	Dental cleaning, childProphylaxis - child	<1%	27	27	$931.86
D1206	Topical application of fluoride varnish	<1%	27	27	$701.67

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.