Moen, Matthew

Moen, Matthew was paid $206K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.

33Billing provider infoMOEN, MATTHEW
LEWISTOWN, MT 59457

33aNPI1417188178assigned 07/29/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$206K

24GClaims6,515

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Montana

Rank by total paid#28 of 149

Median peer was paid$40K

This provider vs. median5.2×

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	312	$10K
2019	711	$22K
2020	1,131	$32K
2021	1,164	$35K
2022	1,147	$39K
2023	1,163	$39K
2024incomplete	887	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	37%	1,866	1,773	$77K
D0140	Limited oral evaluation - problem focused	35%	2,090	1,986	$73K
D1208	Topical application of fluoride, excluding varnish	17%	1,851	1,761	$36K
D0272	Bitewings - two radiographic images	7.1%	530	502	$15K
D0274	Bitewings - four radiographic images	1.3%	78	77	$3K
D1110	Prophylaxis - adult	1.0%	42	42	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	29	28	$780.82
D0220	Intraoral - periapical first radiographic image	<1%	15	15	$286.78
D0230	Intraoral - periapical each additional radiographic image	<1%	14	12	$193.36

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.