MOSES, PHILIP
NPI: 1033109186
· LAKE CHARLES, LA 70605
· Pediatric Dentist
· NPI assigned 10/27/2005
$155K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,077 |
$26K |
| 2019 |
1,243 |
$31K |
| 2020 |
1,303 |
$31K |
| 2021 |
1,123 |
$27K |
| 2022 |
853 |
$22K |
| 2023 |
671 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,088 |
2,057 |
$52K |
| D1120 |
Prophylaxis - child |
1,259 |
1,234 |
$37K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,639 |
1,614 |
$29K |
| D1110 |
Prophylaxis - adult |
445 |
440 |
$20K |
| D0272 |
Bitewings - two radiographic images |
532 |
504 |
$9K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
209 |
199 |
$7K |
| D1351 |
Sealant - per tooth |
45 |
15 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
53 |
51 |
$587.60 |