MODERN DENTAL SPECIALIST, LLC
NPI: 1407541337
· HENDERSON, NV 89014
· Periodontist
· NPI assigned 04/06/2023
Provider Details
| Authorized Official | KOHANTEB, BENNY (DENTIST) |
| NPI Enumeration Date | 04/06/2023 |
Related Entities
Other providers sharing the same authorized official: KOHANTEB, BENNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
575 |
$12K |
| 2024 |
977 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
296 |
288 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
467 |
448 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
246 |
234 |
$3K |
| D0330 |
Panoramic radiographic image |
84 |
79 |
$3K |
| D0274 |
Bitewings - four radiographic images |
127 |
122 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
65 |
12 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
189 |
159 |
$1K |
| D1110 |
Prophylaxis - adult |
43 |
42 |
$1K |
| D1120 |
Prophylaxis - child |
18 |
15 |
$691.20 |
| D1206 |
Topical application of fluoride varnish |
17 |
15 |
$472.85 |