Doctor profile · Federal record

Dr. Justine Moe, MD, DDS

Oral and Maxillofacial Surgery (Dentist) (CMS: Maxillofacial Surgery) · Surgery Physician · Dentist · Oral & Maxillofacial Surgery (D.M.D.) · Okemos, MI

  • NPI 1104143833
  • Accepts Medicare
  • 9 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 4 locations .

NPPES Updated May 11, 2026
Primary practice
4201 Okemos RD
Okemos, MI 488643200
(517) 349-8383
fax (517) 349-5566
Additional location
2240 S State RD
Ionia, MI 488462149
(616) 523-9000
fax (616) 523-9001
Additional location
4500 Cascade RD Se Ste 208
Grand Rapids, MI 495463665
(616) 977-5000
fax (616) 977-0020
Show 1 more location
Additional location
5238 W St Joe Hwy Ste 2
Lansing, MI 489174085
(517) 323-1000
fax (517) 886-5566

Credentials & registration

NPPES · NUCC
NPI registered
April 2010 — 16 yrs on file
Profile last updated
August 26, 2024
Year of graduation
2017 — 9 yrs since
Specialty taxonomy
1223S0112X — NUCC code
State license (1)
Michigan #4301111526

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1104143833. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
198
Distinct HCPCS
7
Medicare allowed
$15,570
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 58 40 $99
99213 Established patient office or other outpatient visit, 20-29 minutes 53 42 $67
70355 X-ray of lower jaws, upper jaws and teeth 28 27 $10
99204 New patient office or other outpatient visit, 45-59 minutes 23 23 $136
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 13 13 $48
31525 Diagnostic exam of voice box using an endoscope 12 11 $83
41116 Removal of growth of floor of mouth 11 11 $111

In context: peer comparison

Among 1 peers in Okemos Oral and Maxillofacial Surgery (Dentist), average services per provider: 28. This provider delivers 7.1× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$108
Transactions
2
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Axogen 2 $108.10

By nature of payment

Food and Beverage
$108

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
21
Patients
0
Total drug cost
$955
Drug Type Claims Patients Total cost
Pentoxifylline Generic 21 0 $955

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Justine Moe's medical specialty?
Dr. Justine Moe practices Oral and Maxillofacial Surgery (Dentist) in Okemos, MI.
Where does Dr. Justine Moe practice?
Dr. Justine Moe practices at 4201 Okemos RD, Okemos, MI 488643200. Office phone: 5173498383.
What is Dr. Justine Moe's NPI?
Dr. Justine Moe's National Provider Identifier (NPI) is 1104143833, issued by NPPES.
Does Dr. Justine Moe accept Medicare assignment?
Yes. Dr. Justine Moe accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Justine Moe commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); X-ray of lower jaws, upper jaws and teeth (HCPCS 70355). Source: CMS Medicare Physician & Other Practitioners file.