Dental
Pavon Family Dentistry P.S.C.
Pavon Family Dentistry P.S.C. was paid $2.18M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D4341, — 13% of everything it billed.
33Billing provider infoPAVON FAMILY DENTISTRY P.S.C.
LOUISVILLE, KY 40212
LOUISVILLE, KY 40212
33aNPI1073833059assigned 06/01/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$2.18M
24GClaims70,359
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Kentucky
Rank by total paid#7 of 462
Median peer was paid$106K
This provider vs. median21×
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 | 8,293 | $205K | |
| 2019 | 6,954 | $171K | |
| 2020 | 9,961 | $248K | |
| 2021 | 9,471 | $263K | |
| 2022 | 11,414 | $333K | |
| 2023 | 12,982 | $486K | |
| 2024incomplete | 11,284 | $476K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 13% | 3,960 | 1,411 | $289K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 5,267 | 2,699 | $287K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 6,715 | 2,708 | $283K |
| D7140 | Extraction, erupted tooth or exposed root | 9.1% | 4,342 | 1,892 | $199K |
| D0330 | Panoramic radiographic image | 8.9% | 4,732 | 4,514 | $195K |
| D1110 | Prophylaxis - adult | 7.6% | 4,183 | 3,999 | $166K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.4% | 5,981 | 5,692 | $160K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.8% | 2,026 | 1,336 | $126K |
| D2335 | 5.5% | 1,612 | 873 | $120K | |
| D0274 | Bitewings - four radiographic images | 4.0% | 4,592 | 4,364 | $88K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 14,918 | 6,478 | $54K |
| D2332 | 2.3% | 791 | 454 | $49K |
12 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 8,311 | $45K |
| D2394 | <1% | 286 | $19K | |
| D2331 | <1% | 340 | $18K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,091 | $16K |
| D5211 | <1% | 26 | $16K | |
| D2330 | <1% | 334 | $15K | |
| D5212 | <1% | 27 | $15K | |
| D0120 | Dental checkup, returning patient | <1% | 629 | $12K |
| D1120 | Dental cleaning, child | <1% | 138 | $6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 17 | $1K |
| D4346 | <1% | 14 | $877.20 | |
| D9110 | <1% | 27 | $486.57 |
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 officialPAVON, HUGO (PRESIDENT)
Parent organizationPAVON FAMILY DENTISTRY P.S.C.