MODERN DENTAL PROFESSIONALS CO PC
NPI: 1528449915
· LAKEWOOD, CO 80214
· General Practice Dentistry
· NPI assigned 06/11/2015
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MELLOR, CRAIG controls 12+ related entities in our dataset. Read more
Provider Details
| Authorized Official | MELLOR, CRAIG (PC OWNER) |
| Parent Organization | MODERN DENTAL PROFESSIONALS CO PC |
| NPI Enumeration Date | 06/11/2015 |
Related Entities
Other providers sharing the same authorized official: MELLOR, CRAIG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
174 |
$7K |
| 2019 |
130 |
$4K |
| 2020 |
96 |
$3K |
| 2021 |
125 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
286 |
284 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
121 |
114 |
$3K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
16 |
13 |
$3K |
| D1110 |
Prophylaxis - adult |
63 |
63 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$1K |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$196.80 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$169.96 |