Dental
Avalon Dental LLC
Avalon Dental LLC was paid $5.53M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 26% of everything it billed.
33Billing provider infoAVALON DENTAL LLC
WILMINGTON, DE 19804
WILMINGTON, DE 19804
33aNPI1669627113assigned 11/25/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$5.53M
24GClaims94,291
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Delaware
Rank by total paid#3 of 78
Median peer was paid$35K
This provider vs. median156×
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 | 14,856 | $863K | |
| 2019 | 16,402 | $983K | |
| 2020 | 13,245 | $708K | |
| 2021 | 14,024 | $806K | |
| 2022 | 13,693 | $891K | |
| 2023 | 13,788 | $810K | |
| 2024incomplete | 8,283 | $470K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 26% | 6,512 | 3,658 | $1.45M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 14% | 4,422 | 2,726 | $779K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 13,022 | 12,584 | $523K |
| D1110 | Prophylaxis - adult | 9.0% | 7,379 | 7,223 | $498K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.8% | 7,236 | 7,086 | $378K |
| D1206 | Topical application of fluoride varnish | 6.5% | 11,103 | 10,895 | $360K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.0% | 1,268 | 904 | $332K |
| D1351 | Sealant - per tooth | 5.7% | 7,164 | 1,357 | $316K |
| D0274 | Bitewings - four radiographic images | 5.1% | 5,619 | 5,481 | $281K |
| D0330 | Panoramic radiographic image | 2.9% | 2,121 | 2,047 | $162K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 4,233 | 4,041 | $96K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 1,775 | 1,549 | $79K |
13 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 3,821 | $69K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 977 | $64K |
| D1208 | Topical application of fluoride, excluding varnish | 1.0% | 1,844 | $57K |
| D0272 | Bitewings - two radiographic images | <1% | 1,257 | $45K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 127 | $17K |
| D0140 | Limited oral evaluation - problem focused | <1% | 303 | $15K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 349 | $8K |
| D2332 | <1% | 19 | $4K | |
| D2331 | <1% | 13 | $2K | |
| D0240 | <1% | 19 | $355.63 | |
| D0602 | 0% | 12,195 | $0.00 | |
| D0603 | 0% | 1,471 | $0.00 | |
| D0601 | 0% | 42 | $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.
From NPPES
Who's on the registration
Authorized officialFARHI, PARHAM (OWNER DR.)
| Provider | Location | Paid |
|---|---|---|
| Avalon Dental LLC | Wilmington, DE | $108K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.