MODERN DENTAL PROFESSIONALS-LEE,INC
NPI: 1033393558
· CENTERVILLE, OH 45459
· General Practice Dentistry
· NPI assigned 12/19/2007
Provider Details
| Authorized Official | KELLER, RHONDA (DISTRICT MANAGER) |
| Parent Organization | MODERN DENTAL PROFESSIONALS-LEE,INC |
| NPI Enumeration Date | 12/19/2007 |
Related Entities
Other providers sharing the same authorized official: KELLER, RHONDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
250 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
92 |
92 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
60 |
60 |
$1K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$477.82 |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$340.00 |
| D0220 |
Intraoral - periapical first radiographic image |
53 |
53 |
$265.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$210.00 |