Moore, Gwendolyn

Moore, Gwendolyn was paid $4K by Medicaid between Jan 2018 and Jan 2018, across 5 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 49% of everything it billed.

33Billing provider infoMOORE, GWENDOLYN
CLEVELAND, MS 38732

33aNPI1952574964assigned 04/10/2008

33bProvider typeDentist

28Total paid$4K

24GClaims79

24DCodes billed5

24AFirst – last monthJan 2018 – Jan 2018

Compared with peers

Next to other Dentist providers in Mississippi

Rank by total paid#216 of 261

Median peer was paid$64K

This provider vs. median0.1×

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	79	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	49%	15	14	$2K
D0150	Comprehensive oral evaluation - new or established patient	19%	18	18	$740.92
D1120	Dental cleaning, childProphylaxis - child	12%	17	17	$481.76
D0274	Bitewings - four radiographic images	10%	13	13	$408.72
D1206	Topical application of fluoride varnish	9.5%	16	16	$375.75

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.