Moore, John

Moore, John was paid $3K by Medicaid between Jan 2018 and Aug 2019, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 55% of everything it billed.

33Billing provider infoMOORE, JOHN
BRIDGEPORT, WV 26330

33aNPI1720165954assigned 11/01/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims123

24DCodes billed3

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other General Practice Dentistry providers in West Virginia

Rank by total paid#153 of 193

Median peer was paid$44K

This provider vs. median0.1×

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	60	$1K
2019	63	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	55%	62	62	$2K
D1120	Dental cleaning, childProphylaxis - child	35%	46	46	$973.47
D1208	Topical application of fluoride, excluding varnish	9.8%	15	15	$268.24

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.