Avon Center Dentistry

Avon Center Dentistry was paid $276K by Medicaid between Jan 2018 and Mar 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.

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	3,197	$109K
2019	2,685	$75K
2020	1,159	$26K
2021	1,175	$26K
2022	1,164	$28K
2023	426	$12K
2024incomplete	27	$998.06

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	2,314	2,115	$48K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	16%	520	234	$43K
D1110	Prophylaxis - adult	15%	1,637	1,482	$42K
D1120	Dental cleaning, childProphylaxis - child	12%	838	780	$33K
D2391	Resin-based composite - one surface, posterior, primary or permanent	12%	623	234	$33K
D0274	Bitewings - four radiographic images	11%	1,184	1,085	$32K
D0220	Intraoral - periapical first radiographic image	4.7%	1,474	1,259	$13K
D1208	Topical application of fluoride, excluding varnish	4.2%	472	428	$12K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.8%	164	73	$11K
D0150	Comprehensive oral evaluation - new or established patient	1.3%	109	97	$4K
D0230	Intraoral - periapical each additional radiographic image	1.2%	421	221	$3K
D2394		<1%	21	15	$2K

1 more codes

D0140

Limited oral evaluation - problem focused

<1%

56

$1K

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 officialBUSSIERE, JAMES (OWNER)

Parent organizationHEBRON CENTER DENTISTRY