Physician
Moore, Dennis
Moore, Dennis was paid $94.60 by Medicaid between Jan 2018 and Dec 2018, across 23 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 47% of everything it billed.
33Billing provider infoMOORE, DENNIS
GRANDVIEW, WA 98930
GRANDVIEW, WA 98930
33aNPI1053452250assigned 02/09/2007
33bProvider typePediatrics Physician
28Total paid$94.60
24GClaims6,763
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Pediatrics Physician providers in Washington
Rank by total paid#106 of 110
Median peer was paid$57K
This provider vs. median0.0×
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 | 6,763 | $94.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 47% | 576 | 534 | $44.44 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 1,728 | 1,573 | $40.16 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 205 | 200 | $10.00 |
| 99173 | 0% | 667 | 656 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 73 | 72 | $0.00 |
| 90461 | 0% | 13 | 13 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 484 | 463 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 541 | 441 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 167 | 165 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 359 | 353 | $0.00 |
| 90633 | 0% | 28 | 28 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 13 | 12 | $0.00 |
11 more codes
| 94760 | 0% | 946 | $0.00 | |
| 99058 | 0% | 199 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $0.00 |
| 99000 | 0% | 80 | $0.00 | |
| 90651 | 0% | 62 | $0.00 | |
| 90686 | 0% | 288 | $0.00 | |
| 92583 | 0% | 199 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 59 | $0.00 |
| 99070 | 0% | 19 | $0.00 | |
| 99383 | 0% | 14 | $0.00 | |
| 88720 | 0% | 31 | $0.00 |
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.