Medicaid Provider Spending

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

HILL AND MOUDY FAMILY DENTISTRY, PLLC

NPI: 1861784548 · CABOT, AR 72023 · General Practice Dentistry · NPI assigned 05/12/2011

$99K
Total Medicaid Paid
3,201
Total Claims
2,594
Beneficiaries
12
Codes Billed
2018-01
First Month
2019-11
Last Month

Provider Details

Authorized OfficialMOUDY, MATTHEW (DENTIST)
NPI Enumeration Date05/12/2011

Related Entities

Other providers sharing the same authorized official: MOUDY, MATTHEW

ProviderCityStateTotal Paid
MATTHE E. MOUDY DDS PA CABOT AR $30K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,733 $51K
2019 1,468 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 448 364 $21K
D0120 Periodic oral evaluation - established patient 683 551 $17K
D0140 Limited oral evaluation - problem focused 473 387 $15K
D1208 Topical application of fluoride, excluding varnish 450 364 $9K
D0220 Intraoral - periapical first radiographic image 513 417 $8K
D0210 Intraoral - complete series of radiographic images 87 76 $7K
D2150 Silver amalgam - two surfaces, primary or permanent 96 52 $7K
D0272 Bitewings - two radiographic images 283 253 $6K
D2140 61 41 $4K
D7140 Extraction, erupted tooth or exposed root 40 26 $3K
D0330 Panoramic radiographic image 14 12 $785.10
D0230 Intraoral - periapical each additional radiographic image 53 51 $755.25