Dental
Modern Dental Professionals-Lee,inc
Modern Dental Professionals-Lee,inc was paid $4K by Medicaid between May 2020 and Oct 2020, across 6 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 47% of everything it billed.
33Billing provider infoMODERN DENTAL PROFESSIONALS-LEE,INC
CENTERVILLE, OH 45459
CENTERVILLE, OH 45459
33aNPI1033393558assigned 12/19/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims250
24DCodes billed6
24AFirst – last monthMay 2020 – Oct 2020
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#664 of 870
Median peer was paid$40K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | |
|---|---|---|---|
| 2020 | 250 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 47% | 92 | 92 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 60 | 60 | $1K |
| D1110 | Prophylaxis - adult | 11% | 14 | 14 | $477.82 |
| D0274 | Bitewings - four radiographic images | 7.8% | 17 | 17 | $340.00 |
| D0220 | Intraoral - periapical first radiographic image | 6.1% | 53 | 53 | $265.00 |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 14 | 14 | $210.00 |
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.
From NPPES
Who's on the registration
Authorized officialKELLER, RHONDA (DISTRICT MANAGER)
Parent organizationMODERN DENTAL PROFESSIONALS-LEE,INC
| Provider | Location | Paid |
|---|---|---|
| Healthwise Medical Clinic PLLC | Alpena, MI | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.