Moeller, Randolph

Moeller, Randolph was paid $884.00 by Medicaid between Jun 2018 and Jun 2018, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 59% of everything it billed.

33Billing provider infoMOELLER, RANDOLPH
MUSKEGON HEIGHTS, MI 49444

33aNPI1053390443assigned 01/13/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$884.00

24GClaims26

24DCodes billed2

24AFirst – last monthJun 2018 – Jun 2018

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#1,314 of 1,554

Median peer was paid$15K

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
2018	26	$884.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	59%	13	13	$520.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	41%	13	13	$364.00

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.