Dental
Moudy, Matthew
Moudy, Matthew was paid $80K by Medicaid between Jan 2018 and May 2020, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoMOUDY, MATTHEW
CABOT, AR 72023
CABOT, AR 72023
33aNPI1750448114assigned 01/03/2007
33bProvider typeDentist
28Total paid$80K
24GClaims3,312
24DCodes billed10
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Dentist providers in Arkansas
Rank by total paid#78 of 211
Median peer was paid$44K
This provider vs. median1.8×
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 | 1,969 | $47K | |
| 2019 | 1,093 | $27K | |
| 2020 | 250 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 550 | 455 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 734 | 619 | $18K |
| D0272 | Bitewings - two radiographic images | 16% | 580 | 494 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 521 | 434 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 9.5% | 503 | 392 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 365 | 278 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 1.4% | 13 | 13 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | 14 | $478.80 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 16 | 15 | $399.81 |
| D0330 | Panoramic radiographic image | <1% | 15 | 15 | $62.70 |
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.