Mospanova, Anastasia

Mospanova, Anastasia was paid $45K by Medicaid between Dec 2019 and Mar 2020, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoMOSPANOVA, ANASTASIA
EUGENE, OR 97402

33aNPI1194369801assigned 11/05/2019

33bProvider typeDentist

28Total paid$45K

24GClaims1,823

24DCodes billed12

24AFirst – last monthDec 2019 – Mar 2020

Compared with peers

Next to other Dentist providers in Oregon

Rank by total paid#87 of 233

Median peer was paid$19K

This provider vs. median2.4×

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
2019	143	$3K
2020	1,680	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	30%	344	341	$13K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	394	393	$11K
D1208	Topical application of fluoride, excluding varnish	18%	337	334	$8K
D1110	Prophylaxis - adult	7.7%	93	90	$3K
D0274	Bitewings - four radiographic images	6.9%	196	192	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4.8%	41	32	$2K
D0150	Comprehensive oral evaluation - new or established patient	2.5%	64	61	$1K
D0220	Intraoral - periapical first radiographic image	2.1%	172	170	$929.60
D0230	Intraoral - periapical each additional radiographic image	1.2%	95	93	$520.60
D7140	Extraction, erupted tooth or exposed root	1.1%	14	12	$508.56
D0272	Bitewings - two radiographic images	1.1%	57	55	$488.80
D0140	Limited oral evaluation - problem focused	<1%	16	16	$243.00

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.