Dental
Moon, Emily
Moon, Emily was paid $45K by Medicaid between Jan 2018 and Apr 2019, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoMOON, EMILY
AUBREY, TX 76227
AUBREY, TX 76227
33aNPI1699061150assigned 06/23/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$45K
24GClaims1,895
24DCodes billed12
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,370 of 2,774
Median peer was paid$43K
This provider vs. median1.0×
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 | 1,474 | $34K | |
| 2019 | 421 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 29% | 186 | 118 | $13K |
| D1110 | Prophylaxis - adult | 27% | 263 | 263 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 297 | 297 | $9K |
| D0274 | Bitewings - four radiographic images | 5.0% | 186 | 186 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 410 | 406 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 25 | 17 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.5% | 25 | 25 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 43 | 43 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 324 | 323 | $1K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 76 | 74 | $897.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 13 | 13 | $585.00 |
| D0272 | Bitewings - two radiographic images | 1.1% | 47 | 47 | $470.00 |
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.