Dental
Avila, Karen
Avila, Karen was paid $12K by Medicaid between Mar 2018 and Aug 2020, across 4 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 49% of everything it billed.
33Billing provider infoAVILA, KAREN
BRIARCLIFF MANOR, NY 10510
BRIARCLIFF MANOR, NY 10510
33aNPI1104969575assigned 02/15/2007
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$12K
24GClaims287
24DCodes billed4
24AFirst – last monthMar 2018 – Aug 2020
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in New York
Rank by total paid#169 of 221
Median peer was paid$109K
This provider vs. median0.1×
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 | 108 | $5K | |
| 2019 | 134 | $6K | |
| 2020 | 45 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 49% | 80 | 52 | $6K |
| D0330 | Panoramic radiographic image | 45% | 170 | 170 | $6K |
| D9310 | 4.8% | 25 | 25 | $593.75 | |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 12 | 12 | $148.20 |
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.