Clinic
Praveen Pavuluru, DMD, LLC
Praveen Pavuluru, DMD, LLC was paid $101K by Medicaid between Jul 2022 and Nov 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoPRAVEEN PAVULURU, DMD, LLC
BANGOR, ME 04401
BANGOR, ME 04401
33aNPI1962133454assigned 06/23/2022
33bProvider typeDental Clinic/Center
28Total paid$101K
24GClaims1,587
24DCodes billed8
24AFirst – last monthJul 2022 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Maine
Rank by total paid#16 of 33
Median peer was paid$59K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2022 | 343 | $20K | |
| 2023 | 635 | $44K | |
| 2024incomplete | 609 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 332 | 332 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 592 | 592 | $20K |
| D4910 | 19% | 190 | 190 | $19K | |
| D0210 | Intraoral - complete series of radiographic images | 18% | 187 | 187 | $18K |
| D4355 | 9.3% | 85 | 85 | $9K | |
| D0274 | Bitewings - four radiographic images | 7.5% | 165 | 165 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 21 | 13 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 15 | 12 | $2K |
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 officialPAVULURU, PRAVEEN (SOLE OWNER/MEMBER)