Clinic
Louis Moon DDS, INC.
Louis Moon DDS, INC. was paid $1.55M by Medicaid between Dec 2021 and Dec 2024, across 21 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 29% of everything it billed.
33Billing provider infoLOUIS MOON DDS, INC.
IRVINE, CA 92604
IRVINE, CA 92604
33aNPI1053087312assigned 08/17/2021
33bProvider typeDental Clinic/Center
28Total paid$1.55M
24GClaims24,736
24DCodes billed21
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#166 of 1,135
Median peer was paid$200K
This provider vs. median7.7×
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 | |
|---|---|---|---|
| 2021 | 133 | $3K | |
| 2022 | 6,261 | $299K | |
| 2023 | 9,047 | $641K | |
| 2024incomplete | 9,295 | $606K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 29% | 953 | 637 | $452K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 8.6% | 1,684 | 739 | $133K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 7.7% | 258 | 216 | $120K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 1,483 | 1,474 | $97K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.0% | 1,411 | 768 | $94K |
| D1110 | Prophylaxis - adult | 6.0% | 1,041 | 1,036 | $93K |
| D2954 | 5.8% | 864 | 590 | $90K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 834 | 830 | $68K |
| D4910 | 4.2% | 856 | 850 | $66K | |
| D0210 | Intraoral - complete series of radiographic images | 3.5% | 1,143 | 1,136 | $54K |
| D0350 | 3.4% | 5,380 | 1,216 | $52K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.7% | 821 | 814 | $43K |
9 more codes
| D4341 | 2.4% | 527 | $37K | |
| D2394 | 2.2% | 416 | $35K | |
| D9430 | 2.2% | 1,052 | $34K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 1,866 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 439 | $24K |
| D0274 | Bitewings - four radiographic images | 1.3% | 1,005 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,626 | $11K |
| D0330 | Panoramic radiographic image | <1% | 44 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 33 | $396.00 |
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 officialMOON, LOUIS (PRESIDENT)