Moen, Donald

Moen, Donald was paid $33K by Medicaid between Jan 2018 and Jun 2019, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 57% of everything it billed.

33Billing provider infoMOEN, DONALD
LEWISTOWN, MT 59457

33aNPI1720115363assigned 02/28/2007

33bProvider typeDentist

28Total paid$33K

24GClaims1,150

24DCodes billed6

24AFirst – last monthJan 2018 – Jun 2019

Compared with peers

Next to other Dentist providers in Montana

Rank by total paid#50 of 95

Median peer was paid$38K

This provider vs. median0.8×

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	733	$21K
2019	417	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	57%	474	468	$19K
D1208	Topical application of fluoride, excluding varnish	25%	453	444	$8K
D0272	Bitewings - two radiographic images	8.8%	107	107	$3K
D0140	Limited oral evaluation - problem focused	5.8%	60	59	$2K
D0274	Bitewings - four radiographic images	2.5%	29	27	$830.63
D0220	Intraoral - periapical first radiographic image	1.4%	27	26	$468.21

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.