Mori, Judith

Mori, Judith was paid $17K by Medicaid between Jan 2018 and Nov 2019, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 32% of everything it billed.

33Billing provider infoMORI, JUDITH
GOSHEN, NY 10924

33aNPI1083691638assigned 12/26/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$17K

24GClaims700

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,448 of 2,184

Median peer was paid$54K

This provider vs. median0.3×

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	244	$6K
2019	456	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	32%	235	235	$5K
D1110	Prophylaxis - adult	32%	129	129	$5K
D1120	Dental cleaning, childProphylaxis - child	17%	89	89	$3K
D1208	Topical application of fluoride, excluding varnish	12%	161	161	$2K
D0220	Intraoral - periapical first radiographic image	5.2%	74	74	$874.05
D0274	Bitewings - four radiographic images	1.8%	12	12	$296.40

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.