MODESTE, LORENZO
NPI: 1477566859
· HAMPTON, VA 23666
· General Practice Dentistry
· NPI assigned 08/15/2006
$145K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,258 |
$38K |
| 2019 |
2,727 |
$72K |
| 2020 |
1,239 |
$26K |
| 2021 |
417 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1354 |
|
3,210 |
229 |
$86K |
| D0330 |
Panoramic radiographic image |
684 |
409 |
$21K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
690 |
411 |
$12K |
| D1110 |
Prophylaxis - adult |
224 |
221 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
429 |
423 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
389 |
389 |
$8K |
| D1120 |
Prophylaxis - child |
15 |
15 |
$502.80 |