Andrew Bonavita DMDPC

Andrew Bonavita DMDPC was paid $57K by Medicaid between Apr 2019 and Dec 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 62% of everything it billed.

33Billing provider infoANDREW BONAVITA DMDPC
LONGMEADOW, MA 01106

33aNPI1780841213assigned 05/21/2008

33bProvider typeDentist

28Total paid$57K

24GClaims1,430

24DCodes billed6

24AFirst – last monthApr 2019 – Dec 2024

Compared with peers

Next to other Dentist providers in Massachusetts

Rank by total paid#238 of 413

Median peer was paid$93K

This provider vs. median0.6×

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
2019	53	$2K
2021	31	$2K
2022	452	$19K
2023	375	$14K
2024incomplete	519	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	62%	643	637	$35K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	600	597	$15K
D0274	Bitewings - four radiographic images	4.9%	81	81	$3K
D0150	Comprehensive oral evaluation - new or established patient	4.5%	56	55	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.1%	23	13	$1K
D1206	Topical application of fluoride varnish	1.3%	27	27	$756.00

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 officialBONAVITA, ANDREW (PRESIDENT)