Dicostanzo, Anthony

Dicostanzo, Anthony was paid $2K by Medicaid between Feb 2018 and Jan 2019, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 75% of everything it billed.

33Billing provider infoDICOSTANZO, ANTHONY
DYER, IN 46311

33aNPI1841240819assigned 05/11/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims300

24DCodes billed4

24AFirst – last monthFeb 2018 – Jan 2019

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#591 of 723

Median peer was paid$60K

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
2018	283	$2K
2019	17	$802.23

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	75%	152	137	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	105	93	$338.70
D0150	Comprehensive oral evaluation - new or established patient	6.1%	16	13	$142.00
D1208	Topical application of fluoride, excluding varnish	3.8%	27	24	$89.56

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.