RANDALL A. MOORE, DMD,PC
NPI: 1144528134
· GREENWICH, CT 06830
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 03/01/2011
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MOORE, RANDALL (OWNER) |
| NPI Enumeration Date | 03/01/2011 |
Related Entities
Other providers sharing the same authorized official: MOORE, RANDALL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
168 |
$0.00 |
| 2019 |
167 |
$0.00 |
| 2020 |
168 |
$0.00 |
| 2021 |
168 |
$0.00 |
| 2022 |
168 |
$0.00 |
| 2023 |
168 |
$0.00 |
| 2024 |
182 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
1,189 |
1,175 |
$0.00 |