Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Moore, Kathryn

Moore, Kathryn was paid $266K by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.

33Billing provider infoMOORE, KATHRYN
GLEN CARBON, IL 62034
33aNPI1750510301assigned 07/03/2009
33bProvider typeDentist
28Total paid$266K
24GClaims8,797
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#443 of 1,099
Median peer was paid$160K
This provider vs. median1.7×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20184,735$155K
20193,837$103K
2023176$6K
2024incomplete49$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 17% 571 350 $46K
D1120 Dental cleaning, childProphylaxis - child 14% 1,399 1,358 $37K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 14% 1,299 1,254 $36K
D1206 Topical application of fluoride varnish 9.9% 1,643 1,593 $26K
D0150 Comprehensive oral evaluation - new or established patient 9.4% 587 576 $25K
D0330 Panoramic radiographic image 8.4% 505 486 $22K
D2930 Prefabricated stainless steel crown - primary tooth 6.4% 121 52 $17K
D0230 Intraoral - periapical each additional radiographic image 5.6% 862 579 $15K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 5.1% 563 538 $14K
D0220 Intraoral - periapical first radiographic image 3.0% 713 699 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.2% 99 74 $6K
D1110 Prophylaxis - adult 1.9% 150 148 $5K
4 more codes
D7140 Extraction, erupted tooth or exposed root 1.8% 71 $5K
D0272 Bitewings - two radiographic images 1.1% 188 $3K
D0140 Limited oral evaluation - problem focused <1% 12 $409.00
D0274 Bitewings - four radiographic images <1% 14 $324.00

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.