Medicaid Provider Spending

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

DOUGLAS W MOORE DDS PC

NPI: 1922169275 · OSKALOOSA, IA 52577 · Dentist · NPI assigned 12/12/2006

$88K
Total Medicaid Paid
4,220
Total Claims
3,985
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOORE, DOUGLAS (PRESIDENT OWNER)
NPI Enumeration Date12/12/2006

Related Entities

Other providers sharing the same authorized official: MOORE, DOUGLAS

ProviderCityStateTotal Paid
FRANKLIN COUNTY SCHOOLS LOUISBURG NC $1.09M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 653 $12K
2019 835 $19K
2020 458 $10K
2021 715 $13K
2022 604 $11K
2023 592 $14K
2024 363 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 2,253 2,118 $35K
D1120 Prophylaxis - child 1,225 1,161 $30K
D1110 Prophylaxis - adult 645 618 $20K
D0150 Comprehensive oral evaluation - new or established patient 74 68 $2K
D0330 Panoramic radiographic image 23 20 $844.49