Moss, David

Moss, David was paid $17K by Medicaid between Jan 2018 and May 2022, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 60% of everything it billed.

33Billing provider infoMOSS, DAVID
HAYDEN, ID 83835

33aNPI1891869731assigned 11/20/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$17K

24GClaims1,677

24DCodes billed7

24AFirst – last monthJan 2018 – May 2022

Compared with peers

Next to other General Practice Dentistry providers in Idaho

Rank by total paid#97 of 173

Median peer was paid$22K

This provider vs. median0.7×

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	607	$8K
2019	427	$4K
2020	271	$2K
2021	246	$860.52
2022	126	$714.86

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	60%	167	167	$10K
D1110	Prophylaxis - adult	35%	88	88	$6K
D0330	Panoramic radiographic image	3.6%	13	13	$596.26
D0150	Comprehensive oral evaluation - new or established patient	1.0%	12	12	$166.33
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	782	782	$54.35
D1206	Topical application of fluoride varnish	0%	602	601	$0.00
D0272	Bitewings - two radiographic images	0%	13	13	$0.00

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.