Preheat oven to 375°F/191°C.
Line a baking sheet with parchment paper.
Punch down the dough and divide into 12 equal pieces, about 46g each.
Roll each piece into a long rope, about 8" long.
Make a knot and tuck the tail ends (in the middle).
Press a meatball firmly in the center.
Repeat with the remainder.
Loosely cover and leave to rest in a warm location until slightly puffy.
Brush pesto onto the tops of the dough.
Sprinkle with cheese, if desired.
Bake for 18-20 minutes at 375°F/191°C, or until lightly golden in color.
Brush with more pesto while warm, if desired.
Serve warm with marinara sauce, or extra pesto.