Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RYAN A MOORE DDS, PLLC

NPI: 1417398256 · LITTLE ROCK, AR 72227 · General Practice Dentistry · NPI assigned 07/09/2013

$17K
Total Medicaid Paid
589
Total Claims
553
Beneficiaries
4
Codes Billed
2018-04
First Month
2024-06
Last Month

Provider Details

Authorized OfficialMOORE, RYAN (OWNER/PRESIDENT)
NPI Enumeration Date07/09/2013

Related Entities

Other providers sharing the same authorized official: MOORE, RYAN

ProviderCityStateTotal Paid
VALUE DRUGS OF ALLEGAN INC ALLEGAN MI $17K
WUIS VALUE DRUGS INC SOUTH HAVEN MI $8K
WUIS VALUE DRUGS, INC HAMILTON MI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 144 $3K
2019 12 $290.70
2021 37 $931.28
2022 247 $7K
2023 105 $3K
2024 44 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 364 337 $9K
D1110 Prophylaxis - adult 201 192 $8K
D0272 Bitewings - two radiographic images 12 12 $271.70
D1208 Topical application of fluoride, excluding varnish 12 12 $239.40