Pavalock, Robert

Pavalock, Robert was paid $26K by Medicaid between Jan 2018 and Feb 2020, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 38% of everything it billed.

33Billing provider infoPAVALOCK, ROBERT
TERRYVILLE, CT 06786

33aNPI1013196385assigned 11/02/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$26K

24GClaims1,084

24DCodes billed7

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Connecticut

Rank by total paid#273 of 431

Median peer was paid$79K

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
2018	611	$14K
2019	410	$10K
2020	63	$2K

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%	449	426	$10K
D1110	Prophylaxis - adult	24%	223	203	$6K
D0274	Bitewings - four radiographic images	15%	148	139	$4K
D1120	Dental cleaning, childProphylaxis - child	11%	64	64	$3K
D1208	Topical application of fluoride, excluding varnish	7.7%	80	80	$2K
D0220	Intraoral - periapical first radiographic image	3.4%	87	69	$883.12
D0230	Intraoral - periapical each additional radiographic image	1.0%	33	24	$265.88

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.