Avianto, Nicholas
Avianto, Nicholas was paid $141K by Medicaid between Aug 2023 and Oct 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoAVIANTO, NICHOLAS
BLOOMFIELD, NJ 07003
BLOOMFIELD, NJ 07003
33aNPI1831758663assigned 06/05/2019
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$141K
24GClaims4,968
24DCodes billed17
24AFirst – last monthAug 2023 – Oct 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in New Jersey
Rank by total paid#29 of 181
Median peer was paid$10K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2023 | 1,277 | $37K | |
| 2024incomplete | 3,691 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 851 | 850 | $37K |
| D1206 | Topical application of fluoride varnish | 19% | 858 | 857 | $26K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 272 | 157 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 775 | 774 | $19K |
| D0272 | Bitewings - two radiographic images | 5.6% | 407 | 407 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.6% | 326 | 308 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 511 | 509 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 460 | 459 | $3K |
| D9920 | 1.8% | 102 | 101 | $3K | |
| D0603 | 1.5% | 220 | 220 | $2K | |
| D1351 | Sealant - per tooth | 1.3% | 74 | 24 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.0% | 20 | 16 | $1K |
5 more codes
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.