Dental
Moore, David
Moore, David was paid $236K by Medicaid between Jan 2018 and Jan 2021, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoMOORE, DAVID
HATTIESBURG, MS 39402
HATTIESBURG, MS 39402
33aNPI1114138971assigned 05/24/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$236K
24GClaims9,885
24DCodes billed19
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#114 of 379
Median peer was paid$78K
This provider vs. median3.0×
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 | 6,853 | $165K | |
| 2019 | 1,956 | $49K | |
| 2020 | 962 | $20K | |
| 2021 | 114 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 1,722 | 1,579 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 1,021 | 980 | $32K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 321 | 226 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.7% | 363 | 247 | $21K |
| D1206 | Topical application of fluoride varnish | 7.2% | 935 | 877 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 623 | 569 | $15K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.1% | 644 | 603 | $14K |
| D1351 | Sealant - per tooth | 5.9% | 691 | 236 | $14K |
| D0272 | Bitewings - two radiographic images | 4.6% | 731 | 642 | $11K |
| D0330 | Panoramic radiographic image | 4.1% | 313 | 286 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 526 | 503 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 834 | 733 | $7K |
7 more codes
| D0274 | Bitewings - four radiographic images | 2.4% | 228 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 628 | $5K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.0% | 34 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 42 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 37 | $2K |
| D1110 | Prophylaxis - adult | <1% | 17 | $831.40 |
| D1999 | 0% | 175 | $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.