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    OpenPayerNPI Medicare & MedicaidDillon Moore
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    Dillon Moore — Billing Profile & Reimbursement Data

    NPI 1316529332 · Central Falls, RI · General Practice Dentistry

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    Dillon Moore is a general practice dentistry provider located in Central Falls, Rhode Island. This profile covers 0 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDillon Moore
    Address1000 Broad St
    CityCentral Falls
    StateRI
    ZIP02863
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedApril 28, 2021

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$337.4K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive1,040$110$116.5K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients2,130$30$63.8K
    D1120Prophylaxis–child1,250$30$41.2K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth900$30$24.3K
    D0274N/A1,100$20$20.9K
    D2391Resin‑based composite – one surface, posterior440$40$17.2K
    D0120Periodic oral evaluation - established patient1,220$10$17.1K
    D2392Post 2 surface resin‑based composite250$50$12.6K
    D1351Sealant - per tooth600$20$10.8K
    D0150Comprehensive oral evaluation – new or established patient460$20$10.2K

    Showing 1–10 of 18

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Rhode Island median

    18 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive48120400$130$896.9K
    D1120Prophylaxis–child66160710$30$91.2K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients51150800$30$81.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)99100510$50$65.4K
    D2392Post 2 surface resin‑based composite56110240$60$47.6K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth69180490$20$42.3K
    D1351Sealant - per tooth4890670$20$41.4K
    D0120Periodic oral evaluation - established patient101210930$10$38.1K
    D2391Resin‑based composite – one surface, posterior45110230$40$28.7K
    D0140Limited oral evaluation – problem focused116130410$10$18.3K

    Showing 1–10 of 18

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Dillon Moore, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Blackstone Valley Community Health CareRIFederally Qualified Health Center (FQHC)$0$14.2M
    Blackstone Valley Community Health Care, Inc.RIFederally Qualified Health Center (FQHC)$0$12.4M
    Beata NelkenRIPediatrics Physician$0$4.2M
    John KiangRIPediatric Dentistry$0$1.3M
    Libertad FloresRIObstetrics & Gynecology Physician$0$1.1M
    Milton LiuRIDentist$0$944.5K
    Ursulina BencosmeRIPediatrics Physician$0$912.6K
    Anne BarylickRIFamily Nurse Practitioner$0$878.6K
    Steven YoungRIOral and Maxillofacial Surgery (Dentist)$0$733.9K
    Cesar Mora JaramilloRIAdult Medicine Physician$0$685.3K

    Nearby Providers

    Other providers in the same ZIP code as Dillon Moore, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Living Well Adult Day CareRIAdult Day Care Clinic/Center$0$6.9M
    Aegis GuardiansRIAssisted Living Facility$0$2M
    Central Falls School DistrictRILocal Education Agency (LEA)$0$1.9M
    Yen LongobardiRIPediatrics Physician$0$832K
    Blackstone Valley Assisted Living Enterprise Inc.RIAssisted Living Facility$0$736.7K
    City Of Central FallsRILand Ambulance$30.4K$609.9K
    Justin BelangerRIChiropractor$32.6K$32.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Dillon Moore — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island