Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1982257325assigned 07/23/2019
28Total paid$58K
24GClaims2,464
24DCodes billed12
24AFirst – last monthAug 2024 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete2,464$58K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.