Dental
Londry Modlin Tucker DDS PLLC
Londry Modlin Tucker DDS PLLC was paid $1.43M by Medicaid between Oct 2023 and Dec 2024, across 26 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoLONDRY MODLIN TUCKER DDS PLLC
STATESVILLE, NC 28677
STATESVILLE, NC 28677
33aNPI1205617826assigned 10/10/2023
33bProvider typePediatric Dentist
28Total paid$1.43M
24GClaims33,941
24DCodes billed26
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in North Carolina
Rank by total paid#75 of 195
Median peer was paid$776K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2023 | 7,168 | $160K | |
| 2024incomplete | 26,773 | $1.27M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 3,108 | 1,239 | $276K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 18% | 2,076 | 593 | $262K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.7% | 967 | 480 | $96K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.5% | 2,414 | 1,963 | $93K |
| D7140 | Extraction, erupted tooth or exposed root | 6.4% | 1,645 | 679 | $92K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.0% | 3,580 | 3,095 | $85K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.4% | 3,413 | 2,943 | $77K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 1,018 | 512 | $71K |
| D1206 | Topical application of fluoride varnish | 4.0% | 4,138 | 3,554 | $57K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 956 | 828 | $37K |
| D1351 | Sealant - per tooth | 2.2% | 1,263 | 430 | $31K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.9% | 399 | 168 | $27K |
14 more codes
| D0140 | Limited oral evaluation - problem focused | 1.8% | 808 | $26K |
| D3240 | 1.8% | 163 | $25K | |
| D0272 | Bitewings - two radiographic images | 1.8% | 1,636 | $25K |
| D2390 | 1.5% | 134 | $22K | |
| D1110 | Prophylaxis - adult | 1.5% | 641 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 1,651 | $21K |
| D9420 | 1.4% | 216 | $20K | |
| D0240 | 1.3% | 1,348 | $19K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 1,697 | $17K |
| D0330 | Panoramic radiographic image | <1% | 206 | $8K |
| D0274 | Bitewings - four radiographic images | <1% | 257 | $7K |
| D2332 | <1% | 122 | $6K | |
| D1510 | <1% | 29 | $6K | |
| D2330 | <1% | 56 | $3K |
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 officialCHAFFIN, MARY (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Londry & Modlin Xiv DDS PLLC | Statesville, NC | $245K |
| Londry, Modlin, Tucker IV DDS PLLC | Waxhaw, NC | $65K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.