Clinic
Moses Family Dentistry, LLC
Moses Family Dentistry, LLC was paid $39K by Medicaid between Jul 2023 and Nov 2024, across 8 billing codes. Its largest line is D0330, Panoramic radiographic image — 33% of everything it billed.
33Billing provider infoMOSES FAMILY DENTISTRY, LLC
GONZALES, LA 70737
GONZALES, LA 70737
33aNPI1952007197assigned 01/31/2023
33bProvider typeDental Clinic/Center
28Total paid$39K
24GClaims1,463
24DCodes billed8
24AFirst – last monthJul 2023 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Louisiana
Rank by total paid#38 of 59
Median peer was paid$90K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2023 | 347 | $4K | |
| 2024incomplete | 1,116 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 33% | 465 | 229 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 33% | 375 | 253 | $13K |
| D1110 | Prophylaxis - adult | 18% | 200 | 113 | $7K |
| D1206 | Topical application of fluoride varnish | 7.8% | 101 | 100 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 46 | 46 | $2K |
| D0274 | Bitewings - four radiographic images | 2.0% | 162 | 85 | $782.00 |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 102 | 56 | $448.35 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 12 | 12 | $368.80 |
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 officialMOSES, BRADLEY (OWNER)