Dental
Moody Dental LLC
Moody Dental LLC was paid $4.98M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 15% of everything it billed.
33Billing provider infoMOODY DENTAL LLC
CEDAR LAKE, IN 46303
CEDAR LAKE, IN 46303
33aNPI1396110508assigned 12/14/2015
33bProvider typeDentist
28Total paid$4.98M
24GClaims105,592
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#10 of 452
Median peer was paid$59K
This provider vs. median84×
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 | |
|---|---|---|---|
| 2018 | 2,003 | $14K | |
| 2019 | 3,989 | $217K | |
| 2020 | 10,618 | $514K | |
| 2021 | 17,953 | $864K | |
| 2022 | 22,242 | $1.08M | |
| 2023 | 23,372 | $1.02M | |
| 2024incomplete | 25,415 | $1.27M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 15% | 4,715 | 1,926 | $765K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12% | 6,794 | 2,889 | $611K |
| D2394 | 10% | 4,892 | 2,155 | $505K | |
| D1110 | Prophylaxis - adult | 8.5% | 8,708 | 8,041 | $423K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.2% | 4,963 | 2,341 | $356K |
| D0140 | Limited oral evaluation - problem focused | 6.3% | 8,619 | 6,991 | $312K |
| D0274 | Bitewings - four radiographic images | 4.4% | 6,866 | 6,227 | $217K |
| D2335 | 4.1% | 1,305 | 522 | $203K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 8,766 | 8,113 | $199K |
| D0330 | Panoramic radiographic image | 3.9% | 4,112 | 3,624 | $195K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 5,097 | 4,620 | $189K |
| D1351 | Sealant - per tooth | 2.8% | 5,192 | 892 | $137K |
24 more codes
| D1120 | Dental cleaning, child | 2.6% | 4,131 | $128K |
| D2332 | 2.4% | 1,081 | $119K | |
| D0210 | Intraoral - complete series of radiographic images | 2.4% | 3,822 | $119K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 9,101 | $91K |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 4,785 | $91K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 6,434 | $58K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,598 | $42K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 79 | $38K |
| D1206 | Topical application of fluoride varnish | <1% | 1,522 | $36K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 91 | $31K |
| D7250 | <1% | 155 | $29K | |
| D9248 | <1% | 277 | $15K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 189 | $13K |
| D9920 | <1% | 338 | $12K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 209 | $11K |
| D0272 | Bitewings - two radiographic images | <1% | 477 | $10K |
| D3320 | <1% | 15 | $6K | |
| D7311 | <1% | 159 | $6K | |
| D1999 | <1% | 675 | $5K | |
| D4341 | <1% | 38 | $4K | |
| D9222 | <1% | 56 | $2K | |
| D4342 | <1% | 41 | $1K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 26 | $383.20 |
| D0350 | 0% | 264 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialWASIF, MOODY (DENTIST/OWNER)