Dental
Oyebolu, Moyosoreoluwa
Oyebolu, Moyosoreoluwa was paid $58K by Medicaid between Aug 2024 and Dec 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoOYEBOLU, MOYOSOREOLUWA
CHRISTIANSTED, VI 00820
CHRISTIANSTED, VI 00820
33aNPI1982257325assigned 07/23/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$58K
24GClaims2,464
24DCodes billed12
24AFirst – last monthAug 2024 – Dec 2024
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 | |
|---|---|---|---|
| 2024incomplete | 2,464 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 278 | 278 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 276 | 276 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 260 | 260 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 251 | 251 | $6K |
| D1110 | Prophylaxis - adult | 10% | 125 | 125 | $6K |
| D0274 | Bitewings - four radiographic images | 9.6% | 297 | 297 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 8.3% | 84 | 69 | $5K |
| D1351 | Sealant - per tooth | 4.4% | 30 | 17 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 377 | 377 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 397 | 337 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 26 | 25 | $1K |
| D0272 | Bitewings - two radiographic images | 1.2% | 63 | 63 | $687.58 |
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.