Fontoura, Ricardo

Fontoura, Ricardo was paid $3K by Medicaid between Jun 2022 and Aug 2022, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 99% of everything it billed.

33Billing provider infoFONTOURA, RICARDO
WESLEY CHAPEL, FL 33544

33aNPI1730539131assigned 06/16/2016

33bProvider typePediatric Dentist

28Total paid$3K

24GClaims268

24DCodes billed6

24AFirst – last monthJun 2022 – Aug 2022

Compared with peers

Next to other Pediatric Dentist providers in Florida

Rank by total paid#210 of 246

Median peer was paid$107K

This provider vs. median0.0×

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
2022	268	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	99%	53	51	$3K
D0272	Bitewings - two radiographic images	<1%	34	32	$23.79
D0220	Intraoral - periapical first radiographic image	<1%	15	14	$5.95
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	0%	47	46	$0.00
D1330		0%	67	65	$0.00
D1206	Topical application of fluoride varnish	0%	52	50	$0.00

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.