Moeller, Jeffrey

Moeller, Jeffrey was paid $150K by Medicaid between Jan 2018 and Dec 2019, across 16 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 17% of everything it billed.

33Billing provider infoMOELLER, JEFFREY
MEXICO, MO 65265

33aNPI1932194099assigned 09/15/2005

33bProvider typeDentist

28Total paid$150K

24GClaims5,367

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#120 of 284

Median peer was paid$109K

This provider vs. median1.4×

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	2,799	$77K
2019	2,568	$73K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	17%	450	440	$25K
D1120	Dental cleaning, childProphylaxis - child	13%	725	713	$19K
D0274	Bitewings - four radiographic images	9.6%	397	391	$14K
D1110	Prophylaxis - adult	9.5%	259	253	$14K
D1206	Topical application of fluoride varnish	9.1%	424	412	$14K
D0330	Panoramic radiographic image	8.8%	220	217	$13K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.7%	696	684	$13K
D0140	Limited oral evaluation - problem focused	4.9%	166	165	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4.6%	72	55	$7K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.1%	101	68	$6K
D0230	Intraoral - periapical each additional radiographic image	3.6%	639	217	$5K
D0220	Intraoral - periapical first radiographic image	3.3%	396	388	$5K

4 more codes

D1351	Sealant - per tooth	3.2%	170	$5K
D0272	Bitewings - two radiographic images	<1%	183	$903.00
D0210	Intraoral - complete series of radiographic images	<1%	28	$639.00
D1208	Topical application of fluoride, excluding varnish	<1%	441	$239.00

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.