Robert R Mantoni DDS and Associates III PC

Robert R Mantoni DDS and Associates III PC was paid $34K by Medicaid between Aug 2018 and Mar 2021, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.

33Billing provider infoROBERT R MANTONI DDS AND ASSOCIATES III PC
CAMBRIDGE, MD 21613

33aNPI1689112336assigned 02/02/2017

33bProvider typeDentist

28Total paid$34K

24GClaims1,135

24DCodes billed6

24AFirst – last monthAug 2018 – Mar 2021

Compared with peers

Next to other Dentist providers in Maryland

Rank by total paid#228 of 415

Median peer was paid$47K

This provider vs. median0.7×

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	299	$10K
2019	539	$16K
2020	145	$4K
2021	152	$5K

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%	425	415	$12K
D1120	Dental cleaning, childProphylaxis - child	29%	238	234	$10K
D1206	Topical application of fluoride varnish	15%	215	206	$5K
D1208	Topical application of fluoride, excluding varnish	13%	206	205	$5K
D1110	Prophylaxis - adult	6.5%	38	38	$2K
D0330	Panoramic radiographic image	1.6%	13	13	$546.00

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.

From NPPES

Who's on the registration

Authorized officialMANTONI, ROBERT (DENTIST/OWNER)