Dental
Moore, Dillon
Moore, Dillon was paid $335K by Medicaid between Aug 2022 and Dec 2024, across 18 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 35% of everything it billed.
33Billing provider infoMOORE, DILLON
CENTRAL FALLS, RI 02863
CENTRAL FALLS, RI 02863
33aNPI1316529332assigned 04/28/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$335K
24GClaims9,929
24DCodes billed18
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Rhode Island
Rank by total paid#31 of 86
Median peer was paid$77K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2022 | 1,669 | $20K | |
| 2023 | 3,442 | $106K | |
| 2024incomplete | 4,818 | $208K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 35% | 1,040 | 960 | $116K |
| D1206 | Topical application of fluoride varnish | 19% | 2,128 | 1,738 | $63K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,248 | 1,049 | $41K |
| D1110 | Prophylaxis - adult | 7.2% | 901 | 769 | $24K |
| D0274 | Bitewings - four radiographic images | 6.1% | 1,098 | 952 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 1,222 | 1,061 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 440 | 250 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 252 | 174 | $13K |
| D1351 | Sealant - per tooth | 3.2% | 602 | 128 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 463 | 403 | $10K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 67 | 62 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 156 | 117 | $676.00 |
6 more codes
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.