Clinic
Moua Family Dentistry PC
Moua Family Dentistry PC was paid $645K by Medicaid between Feb 2023 and Dec 2024, across 17 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 13% of everything it billed.
33Billing provider infoMOUA FAMILY DENTISTRY PC
MAPLEWOOD, MN 55109
MAPLEWOOD, MN 55109
33aNPI1922718030assigned 11/29/2022
33bProvider typeDental Clinic/Center
28Total paid$645K
24GClaims14,262
24DCodes billed17
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#46 of 148
Median peer was paid$70K
This provider vs. median9.2×
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 | |
|---|---|---|---|
| 2023 | 4,887 | $198K | |
| 2024incomplete | 9,375 | $447K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 1,217 | 522 | $86K |
| D0330 | Panoramic radiographic image | 12% | 934 | 928 | $79K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.7% | 689 | 408 | $63K |
| D1110 | Prophylaxis - adult | 8.1% | 896 | 895 | $52K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 970 | 967 | $43K |
| D1206 | Topical application of fluoride varnish | 6.4% | 1,350 | 1,346 | $41K |
| D7140 | Extraction, erupted tooth or exposed root | 6.1% | 391 | 181 | $39K |
| D1330 | 5.9% | 1,138 | 1,138 | $38K | |
| D1351 | Sealant - per tooth | 5.8% | 963 | 196 | $37K |
| D0274 | Bitewings - four radiographic images | 5.7% | 908 | 907 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 1,610 | 1,568 | $27K |
| D0180 | 4.2% | 293 | 293 | $27K |
5 more codes
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.
From NPPES
Who's on the registration
Authorized officialMOUA, CHIA (CEO)