MODERN DENTAL SPECIALIST, LLC
NPI: 1487344032
· LAS VEGAS, NV 89109
· Periodontist
· NPI assigned 05/08/2023
Provider Details
| Authorized Official | SAVCIC, ANASTASIA (HR) |
| Parent Organization | MODERN DENTAL SPECIALISTS, LLC |
| NPI Enumeration Date | 05/08/2023 |
Related Entities
Other providers sharing the same authorized official: SAVCIC, ANASTASIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
771 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
117 |
109 |
$4K |
| D0274 |
Bitewings - four radiographic images |
140 |
130 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
126 |
119 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
163 |
151 |
$2K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
30 |
12 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
169 |
148 |
$959.45 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$477.75 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$262.50 |