Moyer, Glen

Moyer, Glen was paid $36K by Medicaid between Jan 2018 and May 2019, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.

33Billing provider infoMOYER, GLEN
SOUTH HERO, VT 05486

33aNPI1952346694assigned 06/17/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$36K

24GClaims1,295

24DCodes billed8

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other General Practice Dentistry providers in Vermont

Rank by total paid#54 of 88

Median peer was paid$57K

This provider vs. median0.6×

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	957	$27K
2019	338	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	31%	239	236	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	357	354	$8K
D0140	Limited oral evaluation - problem focused	16%	152	149	$6K
D1208	Topical application of fluoride, excluding varnish	12%	246	245	$4K
D0220	Intraoral - periapical first radiographic image	7.5%	159	144	$3K
D0274	Bitewings - four radiographic images	6.0%	74	73	$2K
D1120	Dental cleaning, childProphylaxis - child	5.0%	55	55	$2K
D0230	Intraoral - periapical each additional radiographic image	<1%	13	12	$91.00

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.