Mastrostefano, David

Mastrostefano, David was paid $28K by Medicaid between Mar 2018 and Jan 2020, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 55% of everything it billed.

33Billing provider infoMASTROSTEFANO, DAVID
CRANSTON, RI 02920

33aNPI1841276474assigned 12/15/2005

33bProvider typeDentist

28Total paid$28K

24GClaims709

24DCodes billed8

24AFirst – last monthMar 2018 – Jan 2020

Compared with peers

Next to other Dentist providers in Rhode Island

Rank by total paid#70 of 93

Median peer was paid$115K

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
2018	478	$19K
2019	174	$5K
2020	57	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	55%	168	162	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	230	192	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	9.7%	66	45	$3K
D1120	Dental cleaning, childProphylaxis - child	8.8%	66	66	$2K
D1206	Topical application of fluoride varnish	6.8%	55	55	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.6%	33	27	$1K
D0274	Bitewings - four radiographic images	3.2%	69	69	$904.00
D0150	Comprehensive oral evaluation - new or established patient	<1%	22	17	$250.00

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.