MOODY, BRIANA
NPI: 1366900680
· SAINT LOUIS, MO 63110
· Pediatric Dentist
· NPI assigned 03/05/2019
$844.20
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
24 |
$844.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$516.60 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$327.60 |