Dental
Willis, Avi
Willis, Avi was paid $62K by Medicaid between Nov 2019 and Aug 2020, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoWILLIS, AVI
ENCINITAS, CA 92024
ENCINITAS, CA 92024
33aNPI1942681069assigned 06/15/2015
33bProvider typePediatric Dentist
28Total paid$62K
24GClaims2,210
24DCodes billed11
24AFirst – last monthNov 2019 – Aug 2020
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#247 of 332
Median peer was paid$450K
This provider vs. median0.1×
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 | 1,040 | $29K | |
| 2020 | 1,170 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 349 | 349 | $20K |
| D1206 | Topical application of fluoride varnish | 18% | 361 | 361 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 299 | 299 | $10K |
| D1351 | Sealant - per tooth | 10% | 260 | 61 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.5% | 49 | 30 | $3K |
| D0272 | Bitewings - two radiographic images | 5.4% | 260 | 260 | $3K |
| D0240 | 4.6% | 215 | 215 | $3K | |
| D0603 | 3.5% | 220 | 220 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 51 | 51 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 128 | 127 | $894.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 18 | 18 | $120.00 |
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.