LONDRY, MODLIN, TUCKER & ZIMMER DDS PLLC
NPI: 1588409296
· MOORESVILLE, NC 28117
· Pediatric Dentist
· NPI assigned 06/26/2024
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | HUNTER, JESSICA (DIRECTOR OF NETWORK RELATIONS) |
| NPI Enumeration Date | 06/26/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
121 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0240 |
|
32 |
15 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
36 |
34 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
21 |
19 |
$0.00 |
| D1120 |
Prophylaxis - child |
32 |
30 |
$0.00 |