Moody, Amy

Moody, Amy was paid $77K by Medicaid between Jul 2021 and Sep 2022, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.

33Billing provider infoMOODY, AMY
JOHNSON CITY, TN 37604

33aNPI1366996084assigned 08/10/2016

33bProvider typeDentist

28Total paid$77K

24GClaims2,592

24DCodes billed9

24AFirst – last monthJul 2021 – Sep 2022

Compared with peers

Next to other Dentist providers in Tennessee

Rank by total paid#158 of 242

Median peer was paid$164K

This provider vs. median0.5×

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
2021	952	$26K
2022	1,640	$52K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	25%	483	469	$19K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	665	645	$15K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16%	180	108	$13K
D1206	Topical application of fluoride varnish	16%	627	608	$12K
D0274	Bitewings - four radiographic images	11%	345	335	$9K
D1120	Dental cleaning, childProphylaxis - child	8.6%	207	200	$7K
D0330	Panoramic radiographic image	2.8%	55	54	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	15	12	$730.83
D0220	Intraoral - periapical first radiographic image	<1%	15	14	$152.16

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.