MODERN AMERICAN DENTAL CLINIC PC
NPI: 1164510129
· DEARBORN, MI 48126
· Dentist
· NPI assigned 10/11/2006
Provider Details
| Authorized Official | BERRY, NABIL (DENTIST OWNER) |
| NPI Enumeration Date | 10/11/2006 |
Related Entities
Other providers sharing the same authorized official: BERRY, NABIL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,517 |
$27K |
| 2019 |
789 |
$13K |
| 2020 |
84 |
$707.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D4355 |
|
198 |
193 |
$10K |
| D0274 |
Bitewings - four radiographic images |
359 |
354 |
$7K |
| D1110 |
Prophylaxis - adult |
144 |
143 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
236 |
220 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
241 |
233 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
612 |
590 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
529 |
514 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
71 |
71 |
$2K |