AVALON SMILES LLC
NPI: 1720213788
· BRANDON, MS 39047
· Dentist
· NPI assigned 05/20/2009
$523K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: WILLIAMS, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
348 |
$31K |
| 2019 |
327 |
$30K |
| 2020 |
550 |
$41K |
| 2021 |
1,376 |
$115K |
| 2022 |
1,249 |
$125K |
| 2023 |
1,006 |
$110K |
| 2024 |
612 |
$71K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
5,394 |
4,175 |
$520K |
| D0140 |
Limited oral evaluation - problem focused |
51 |
42 |
$2K |
| D9310 |
|
23 |
16 |
$959.96 |