Dental
Craig S. Modzelewski DMD INC.
Craig S. Modzelewski DMD INC. was paid $184K by Medicaid between Jan 2018 and May 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoCRAIG S. MODZELEWSKI DMD INC.
ALLENDALE, SC 29810
ALLENDALE, SC 29810
33aNPI1114163524assigned 01/07/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$184K
24GClaims5,335
24DCodes billed11
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#132 of 331
Median peer was paid$75K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2018 | 1,312 | $48K | |
| 2019 | 1,475 | $53K | |
| 2020 | 837 | $29K | |
| 2021 | 603 | $19K | |
| 2022 | 666 | $20K | |
| 2023 | 269 | $8K | |
| 2024incomplete | 173 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 993 | 993 | $49K |
| D0330 | Panoramic radiographic image | 17% | 644 | 644 | $31K |
| D0140 | Limited oral evaluation - problem focused | 13% | 654 | 652 | $24K |
| D0274 | Bitewings - four radiographic images | 12% | 803 | 803 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 850 | 850 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | 8.5% | 186 | 103 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 793 | 784 | $10K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.3% | 43 | 30 | $6K |
| D1206 | Topical application of fluoride varnish | 2.6% | 290 | 290 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 49 | 49 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 30 | 30 | $1K |
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 officialMODZELEWSKI, CRAIG (PRESIDENT)