Clinic
Mark A. Mastellotto
Mark A. Mastellotto was paid $4K by Medicaid between Jan 2023 and Oct 2024, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 71% of everything it billed.
33Billing provider infoMARK A. MASTELLOTTO
ADRIAN, MI 49221
ADRIAN, MI 49221
33aNPI1972211134assigned 11/07/2022
33bProvider typeDental Clinic/Center
28Total paid$4K
24GClaims157
24DCodes billed2
24AFirst – last monthJan 2023 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#311 of 431
Median peer was paid$24K
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 | |
|---|---|---|---|
| 2023 | 54 | $1K | |
| 2024incomplete | 103 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 71% | 106 | 106 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 29% | 51 | 51 | $1K |
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.
From NPPES
Who's on the registration
Authorized officialMASTELLOTTO, MARK (OWNER)