Fantuzzo, Donald

Fantuzzo, Donald was paid $16K by Medicaid between Jun 2020 and Jun 2022, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 57% of everything it billed.

33Billing provider infoFANTUZZO, DONALD
MARTINSVILLE, IN 46151

33aNPI1861594061assigned 09/01/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$16K

24GClaims364

24DCodes billed6

24AFirst – last monthJun 2020 – Jun 2022

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#478 of 723

Median peer was paid$60K

This provider vs. median0.3×

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
2020	49	$2K
2021	194	$9K
2022	121	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	57%	181	173	$9K
D0150	Comprehensive oral evaluation - new or established patient	28%	117	114	$5K
D0210	Intraoral - complete series of radiographic images	4.6%	14	14	$744.12
D0140	Limited oral evaluation - problem focused	3.8%	14	14	$615.48
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.7%	26	25	$609.62
D0274	Bitewings - four radiographic images	2.7%	12	12	$439.62

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.