MOORE, AMY
NPI: 1851698245
· PALMDALE, CA 93552
· Dental Hygienist
· NPI assigned 02/21/2011
$540K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,862 |
$212K |
| 2019 |
3,322 |
$161K |
| 2020 |
1,453 |
$56K |
| 2021 |
2,461 |
$86K |
| 2022 |
563 |
$22K |
| 2023 |
57 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9410 |
|
7,958 |
1,859 |
$219K |
| D9920 |
|
2,335 |
931 |
$174K |
| D1110 |
Prophylaxis - adult |
875 |
875 |
$72K |
| D4355 |
|
634 |
633 |
$62K |
| D1208 |
Topical application of fluoride, excluding varnish |
525 |
525 |
$7K |
| D1206 |
Topical application of fluoride varnish |
301 |
301 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
59 |
21 |
$0.00 |
| D0350 |
|
31 |
31 |
$0.00 |