Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOON, HOWARD

NPI: 1811410590 · FRISCO, TX 75034 · General Practice Dentistry · NPI assigned 07/25/2017

$1K
Total Medicaid Paid
53
Total Claims
53
Beneficiaries
3
Codes Billed
2021-06
First Month
2021-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 53 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 12 12 $415.32
D1208 Topical application of fluoride, excluding varnish 28 28 $411.60
D0120 Periodic oral evaluation - established patient 13 13 $375.05