Dental
Pantalena, Luiz
Pantalena, Luiz was paid $14K by Medicaid between Jan 2018 and Feb 2020, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.
33Billing provider infoPANTALENA, LUIZ
BATTLE CREEK, MI 49015
BATTLE CREEK, MI 49015
33aNPI1578902235assigned 06/17/2013
33bProvider typeDentist
28Total paid$14K
24GClaims523
24DCodes billed3
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#526 of 1,033
Median peer was paid$15K
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 | 252 | $7K | |
| 2019 | 259 | $7K | |
| 2020 | 12 | $308.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 35% | 201 | 200 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 34% | 131 | 131 | $5K |
| D1206 | Topical application of fluoride varnish | 30% | 191 | 191 | $4K |
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.