Clinic
Donald Fantuzzo, DDS, INC.
Donald Fantuzzo, DDS, INC. was paid $34K by Medicaid between Oct 2019 and Jun 2022, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.
33Billing provider infoDONALD FANTUZZO, DDS, INC.
MARTINSVILLE, IN 46151
MARTINSVILLE, IN 46151
33aNPI1679125504assigned 07/11/2019
33bProvider typeDental Clinic/Center
28Total paid$34K
24GClaims934
24DCodes billed9
24AFirst – last monthOct 2019 – Jun 2022
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#88 of 123
Median peer was paid$191K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 56 | $2K | |
| 2020 | 117 | $5K | |
| 2021 | 672 | $24K | |
| 2022 | 89 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 37% | 264 | 237 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 29% | 290 | 263 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.9% | 121 | 108 | $3K |
| D0274 | Bitewings - four radiographic images | 5.9% | 73 | 58 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 5.4% | 33 | 29 | $2K |
| D0330 | Panoramic radiographic image | 5.1% | 52 | 41 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 20 | 13 | $1K |
| D1206 | Topical application of fluoride varnish | 3.6% | 65 | 56 | $1K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 16 | 14 | $608.08 |
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.
From NPPES
Who's on the registration
Authorized officialFANTUZZO, DONALD (OWNER/DENTIST)