MOORE DENTAL SERVICES, INC
NPI: 1205968120
· FLORENCE, KY 41042
· Pediatric Dentist
· NPI assigned 03/09/2007
$836.08
Total Medicaid Paid
Provider Details
| Authorized Official | MOORE, MARTIN (PRES) |
| NPI Enumeration Date | 03/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
27 |
$836.08 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
14 |
$637.33 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$198.75 |