MOORE, WILLIAM
NPI: 1285990853
· PORTLAND, OR 97201
· Pediatric Dentist
· NPI assigned 04/07/2012
$211K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
372 |
$19K |
| 2019 |
986 |
$52K |
| 2020 |
325 |
$30K |
| 2021 |
55 |
$3K |
| 2022 |
359 |
$16K |
| 2023 |
938 |
$47K |
| 2024 |
869 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
913 |
873 |
$51K |
| D9310 |
|
393 |
372 |
$36K |
| D1206 |
Topical application of fluoride varnish |
917 |
877 |
$32K |
| D0272 |
Bitewings - two radiographic images |
839 |
787 |
$24K |
| D0120 |
Periodic oral evaluation - established patient |
337 |
312 |
$23K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
84 |
24 |
$17K |
| D7140 |
Extraction, erupted tooth or exposed root |
126 |
41 |
$15K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
35 |
12 |
$6K |
| D0240 |
|
212 |
116 |
$6K |
| D1330 |
|
32 |
30 |
$377.60 |
| D0603 |
|
16 |
16 |
$168.00 |