Moore, Nicholas

Moore, Nicholas was paid $84K by Medicaid between Aug 2019 and Jun 2020, across 12 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 22% of everything it billed.

33Billing provider infoMOORE, NICHOLAS
JOPLIN, MO 64804

33aNPI1225695703assigned 05/21/2019

33bProvider typeDentist

28Total paid$84K

24GClaims2,194

24DCodes billed12

24AFirst – last monthAug 2019 – Jun 2020

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#158 of 284

Median peer was paid$109K

This provider vs. median0.8×

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	1,254	$45K
2020	940	$39K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	22%	217	137	$19K
D0274	Bitewings - four radiographic images	13%	327	327	$11K
D1110	Prophylaxis - adult	12%	217	217	$10K
D0230	Intraoral - periapical each additional radiographic image	11%	419	227	$9K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	9.9%	79	59	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.9%	233	233	$7K
D0330	Panoramic radiographic image	8.6%	129	129	$7K
D1206	Topical application of fluoride varnish	6.0%	229	229	$5K
D0220	Intraoral - periapical first radiographic image	4.6%	257	254	$4K
D0150	Comprehensive oral evaluation - new or established patient	2.3%	57	57	$2K
D0140	Limited oral evaluation - problem focused	<1%	16	16	$806.00
D1120	Dental cleaning, childProphylaxis - child	<1%	14	14	$700.00

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.