Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Avalon Dental Center

Avalon Dental Center was paid $211K by Medicaid between Jan 2018 and May 2019, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.

33Billing provider infoAVALON DENTAL CENTER
SOMERVILLE, MA 02145
33aNPI1841501533assigned 06/28/2010
28Total paid$211K
24GClaims6,305
24DCodes billed13
24AFirst – last monthJan 2018 – May 2019
Compared with peers

Next to other General Practice Dentistry providers in Massachusetts

Rank by total paid#254 of 693
Median peer was paid$87K
This provider vs. median2.4×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20185,026$167K
20191,279$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 26% 1,066 1,044 $54K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 16% 1,385 1,352 $34K
D1120 Dental cleaning, childProphylaxis - child 14% 597 584 $29K
D0274 Bitewings - four radiographic images 12% 724 707 $26K
D1208 Topical application of fluoride, excluding varnish 11% 812 789 $23K
D0140 Limited oral evaluation - problem focused 4.8% 274 260 $10K
D0220 Intraoral - periapical first radiographic image 4.2% 610 582 $9K
D0150 Comprehensive oral evaluation - new or established patient 3.8% 183 177 $8K
D0230 Intraoral - periapical each additional radiographic image 2.7% 462 379 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.3% 62 25 $5K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.0% 67 43 $4K
D0210 Intraoral - complete series of radiographic images 1.6% 51 51 $3K
1 more codes
D0272 Bitewings - two radiographic images <1% 12 $360.00

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 officialOFIR, MICHAEL (OWNER)