Dental
Moon, Brenden
Moon, Brenden was paid $162K by Medicaid between Jan 2018 and May 2022, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.
33Billing provider infoMOON, BRENDEN
CARTHAGE, IL 62321
CARTHAGE, IL 62321
33aNPI1730375171assigned 09/19/2007
33bProvider typeDentist
28Total paid$162K
24GClaims4,799
24DCodes billed16
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#547 of 1,099
Median peer was paid$160K
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 | 1,742 | $45K | |
| 2019 | 697 | $20K | |
| 2020 | 639 | $18K | |
| 2021 | 1,138 | $52K | |
| 2022 | 583 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 36% | 1,289 | 1,215 | $58K |
| D1206 | Topical application of fluoride varnish | 23% | 1,228 | 1,161 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 991 | 957 | $32K |
| D0274 | Bitewings - four radiographic images | 3.7% | 265 | 261 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 124 | 89 | $5K |
| D0330 | Panoramic radiographic image | 2.7% | 155 | 152 | $4K |
| D1110 | Prophylaxis - adult | 2.5% | 62 | 62 | $4K |
| D1351 | Sealant - per tooth | 1.5% | 72 | 26 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.4% | 50 | 45 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 139 | 131 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 81 | 81 | $2K |
| D2940 | <1% | 136 | 41 | $1K |
4 more codes
| D0272 | Bitewings - two radiographic images | <1% | 106 | $1K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 20 | $1K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 13 | $754.65 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 68 | $476.84 |
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.