Falcone, Anthony

Falcone, Anthony was paid $9K by Medicaid between Apr 2018 and Nov 2022, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 38% of everything it billed.

33Billing provider infoFALCONE, ANTHONY
HEATH, OH 43056

33aNPI1932555950assigned 05/09/2016

33bProvider typeDentist

28Total paid$9K

24GClaims597

24DCodes billed7

24AFirst – last monthApr 2018 – Nov 2022

Compared with peers

Next to other Dentist providers in Ohio

Rank by total paid#511 of 745

Median peer was paid$38K

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	127	$2K
2019	26	$462.04
2020	176	$3K
2021	244	$2K
2022	24	$404.96

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	38%	197	195	$3K
D0274	Bitewings - four radiographic images	37%	172	170	$3K
D0150	Comprehensive oral evaluation - new or established patient	8.5%	32	29	$737.80
D1208	Topical application of fluoride, excluding varnish	5.4%	31	31	$465.00
D0230	Intraoral - periapical each additional radiographic image	4.2%	82	29	$360.00
D0220	Intraoral - periapical first radiographic image	3.9%	69	68	$340.00
D1120	Dental cleaning, childProphylaxis - child	3.2%	14	14	$280.00

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.