Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › LEWISVILLE › JASON T. MOORE, D.D.S. AND ADAM T. DORSETT, D.D.S., PA

JASON T. MOORE, D.D.S. AND ADAM T. DORSETT, D.D.S., PA

NPI: 1629597240 · LEWISVILLE, NC 27023 · General Practice Dentistry · NPI assigned 09/14/2017

$15K
Total Medicaid Paid
649
Total Claims
637
Beneficiaries
5
Codes Billed
2018-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMOORE, JASON (PRESIDENT)
NPI Enumeration Date09/14/2017

Related Entities

Other providers sharing the same authorized official: MOORE, JASON

ProviderCityStateTotal Paid
THE OUTREACH FOUNDATION, LLC PETERSBURG VA $1.53M
OAK MEDICAL,LTD JACKSON OH $1.28M
LEGACY VISION CENTER LLC ROCHESTER NY $218K
JASON A. MOORE, D.C. PLLC HUNTINGTON WV $78K
UNIVERSITY HEALTH SERVICES, INC. NORTH AUGUSTA SC $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40 $1K
2019 80 $2K
2020 141 $3K
2021 156 $4K
2022 181 $4K
2023 25 $662.00
2024 26 $672.96

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 296 295 $8K
D1206 Topical application of fluoride varnish 162 161 $3K
D1120 Prophylaxis - child 77 75 $2K
D1208 Topical application of fluoride, excluding varnish 100 92 $2K
D0150 Comprehensive oral evaluation - new or established patient 14 14 $575.74