Dental
Columbus Advanced Family Dentistry
Columbus Advanced Family Dentistry was paid $460K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoCOLUMBUS ADVANCED FAMILY DENTISTRY
COLUMBUS, IN 47201
COLUMBUS, IN 47201
33aNPI1891137865assigned 07/19/2013
33bProvider typePublic Health Dentist
28Total paid$460K
24GClaims14,151
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Public Health Dentist providers in Indiana
Rank by total paid#4 of 8
Median peer was paid$6K
This provider vs. median72×
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 | 2,293 | $5K | |
| 2019 | 2,079 | $72K | |
| 2020 | 1,550 | $50K | |
| 2021 | 1,380 | $49K | |
| 2022 | 1,625 | $57K | |
| 2023 | 2,803 | $112K | |
| 2024incomplete | 2,421 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 3,002 | 2,708 | $122K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 25% | 1,818 | 987 | $115K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,668 | 2,403 | $52K |
| D0274 | Bitewings - four radiographic images | 11% | 1,816 | 1,621 | $50K |
| D1206 | Topical application of fluoride varnish | 8.9% | 2,421 | 2,188 | $41K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 595 | 383 | $27K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.8% | 238 | 135 | $17K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.5% | 843 | 608 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 267 | 229 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 1.0% | 141 | 108 | $5K |
| D1351 | Sealant - per tooth | <1% | 117 | 13 | $3K |
| D0330 | Panoramic radiographic image | <1% | 54 | 48 | $2K |
3 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.
From NPPES
Who's on the registration
Authorized officialPAVLOV, MARVIN (CEO)
Parent organizationCOLUMBUS PEDIATRIC DENTISTRY
| Provider | Location | Paid |
|---|---|---|
| Columbus Pediatric Dentistry, P.C. | Columbus, IN | $5.33M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.