Dental
Moss, Roman
Moss, Roman was paid $5K by Medicaid between Nov 2021 and Apr 2022, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.
33Billing provider infoMOSS, ROMAN
WASHINGTON, DC 20008
WASHINGTON, DC 20008
33aNPI1841750189assigned 03/22/2019
33bProvider typeDentist
28Total paid$5K
24GClaims419
24DCodes billed8
24AFirst – last monthNov 2021 – Apr 2022
Compared with peers
Next to other Dentist providers in District of Columbia
Rank by total paid#50 of 66
Median peer was paid$30K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 112 | $908.75 | |
| 2022 | 307 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 38% | 64 | 61 | $2K |
| D0274 | Bitewings - four radiographic images | 17% | 70 | 67 | $858.00 |
| D0220 | Intraoral - periapical first radiographic image | 12% | 116 | 108 | $582.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 29 | 26 | $414.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.1% | 26 | 26 | $350.00 |
| D0330 | Panoramic radiographic image | 6.8% | 15 | 13 | $336.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 87 | 73 | $282.75 |
| D0140 | Limited oral evaluation - problem focused | 4.6% | 12 | 12 | $225.00 |
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.