Dental
Moon Road Cosmetic & Family Dentistry
Moon Road Cosmetic & Family Dentistry was paid $216.00 by Medicaid between Mar 2018 and Mar 2018, across 1 billing code. Its largest line is D1208, Topical application of fluoride, excluding varnish — 100% of everything it billed.
33Billing provider infoMOON ROAD COSMETIC & FAMILY DENTISTRY
COLUMBUS, GA 31909
COLUMBUS, GA 31909
33aNPI1790970614assigned 09/13/2007
33bProvider typeDentist
28Total paid$216.00
24GClaims12
24DCodes billed1
24AFirst – last monthMar 2018 – Mar 2018
Compared with peers
Next to other Dentist providers in Georgia
Rank by total paid#51 of 55
Median peer was paid$64K
This provider vs. median0.0×
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 | 12 | $216.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 100% | 12 | 12 | $216.00 |
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.
From NPPES
Who's on the registration
Authorized officialOBEBE, DAYO (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Riverchase Dental Care | Phenix City, AL | $816K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.