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SELENA PANTOJA DMD
NPI 1497448963
Dentist - General Practice in Lexington, KY

Active since May 31, 2023PECOS Enrolled
496 SOUTHLAND DR, LEXINGTON, KY 40503(598) 288-2425(859) 721-3915 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Selena Pantoja Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELENA PANTOJA DMD (NPI 1497448963) is an individual general practice provider in Lexington, Kentucky, licensed in Kentucky (10927) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497448963
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSELENA PANTOJACredential: DMD
Location Address496 SOUTHLAND DRLexington, KY 40503-1827
Mailing Address496 Southland DrLexington, KY 40503-1827 · (598) 288-2425 · Fax (859) 721-3915
Phone(598) 288-2425
Fax(859) 721-3915
Sole ProprietorNo
Enumeration DateMay 31, 2023
Last NPPES UpdateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1497448963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 10927
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
496 SOUTHLAND DR, Lexington, KY 40503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Selena Pantoja Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BHAVINI BHARAT MODY APRN
Nurse Practitioner (Pediatrics)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425
MEAGAN GEE LCSW
Social Worker (Clinical)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425
MS. ROSLYN YOUNG APRN, BS
Clinical Nurse Specialist (Psychiatric/Mental Health)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425
MRS. TARA C STANFIELD LCSW
Social Worker
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425
LORI MAY FRYE
Nurse Practitioner (Psychiatric/Mental Health)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425
SOFEIA ASLAM DO
Psychiatry & Neurology (Psychiatry)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425
ANNE V HARGIS RPH
Pharmacist
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425
HILARY ELIZABETH HALVERSTADT D.M.D.
Dentist (General Practice)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Selena Pantoja's NPI number?

The NPI number for Selena Pantoja is 1497448963. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Where is Selena Pantoja located?

Selena Pantoja practices at 496 Southland Dr, Lexington, KY 40503. The listed phone number is (598) 288-2425.

What is Selena Pantoja's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Selena Pantoja enrolled in Medicare?

Yes. Selena Pantoja is registered in the Medicare PECOS enrollment system.

What insurance does Selena Pantoja accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and BEST Life and 9 other insurers list Selena Pantoja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Selena Pantoja was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.