Tavares, Vinicius

Tavares, Vinicius was paid $186K by Medicaid between Feb 2018 and Jun 2021, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.

33Billing provider infoTAVARES, VINICIUS
RUSHVILLE, NY 14544

33aNPI1427417054assigned 02/10/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$186K

24GClaims4,281

24DCodes billed17

24AFirst – last monthFeb 2018 – Jun 2021

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#638 of 2,184

Median peer was paid$54K

This provider vs. median3.5×

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	1,467	$65K
2019	503	$21K
2020	1,463	$63K
2021	848	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	26%	847	847	$48K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	21%	482	336	$38K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	768	768	$23K
D1120	Dental cleaning, childProphylaxis - child	11%	480	480	$20K
D0274	Bitewings - four radiographic images	8.7%	450	450	$16K
D0210	Intraoral - complete series of radiographic images	4.8%	165	165	$9K
D0150	Comprehensive oral evaluation - new or established patient	4.6%	295	295	$9K
D0330	Panoramic radiographic image	2.6%	115	115	$5K
D0272	Bitewings - two radiographic images	2.5%	216	216	$5K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	2.0%	38	31	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.2%	41	27	$2K
D1206	Topical application of fluoride varnish	1.1%	69	69	$2K

5 more codes

D1208	Topical application of fluoride, excluding varnish	<1%	140	$2K
D1351	Sealant - per tooth	<1%	34	$1K
D0220	Intraoral - periapical first radiographic image	<1%	86	$1K
D0140	Limited oral evaluation - problem focused	<1%	29	$521.50
D9995		0%	26	$0.00

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.