Dontsova, Olga

Dontsova, Olga was paid $171K by Medicaid between Jan 2018 and Feb 2020, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.

33Billing provider infoDONTSOVA, OLGA
SARASOTA, FL 34233

33aNPI1780633446assigned 05/09/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$171K

24GClaims8,433

24DCodes billed16

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Florida

Rank by total paid#128 of 568

Median peer was paid$24K

This provider vs. median7.1×

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	5,597	$117K
2019	2,597	$50K
2020	239	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	20%	1,102	1,087	$35K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	1,300	1,283	$32K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	17%	503	338	$29K
D1208	Topical application of fluoride, excluding varnish	9.1%	1,080	1,064	$16K
D0274	Bitewings - four radiographic images	6.6%	692	684	$11K
D0230	Intraoral - periapical each additional radiographic image	6.4%	2,209	823	$11K
D0220	Intraoral - periapical first radiographic image	5.5%	939	919	$9K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	3.9%	101	83	$7K
D0140	Limited oral evaluation - problem focused	3.8%	198	195	$6K
D1110	Prophylaxis - adult	3.1%	126	125	$5K
D7140	Extraction, erupted tooth or exposed root	1.6%	35	31	$3K
D2394		1.5%	35	29	$3K

4 more codes

D0150	Comprehensive oral evaluation - new or established patient	<1%	49	$2K
D0210	Intraoral - complete series of radiographic images	<1%	30	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	19	$848.00
D0330	Panoramic radiographic image	<1%	15	$258.00

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.