MODLIN & LONDRY VIII DDS PLLC
NPI: 1659034411
· ELKIN, NC 28621
· General Practice Dentistry
· NPI assigned 10/19/2021
$991.48
Total Medicaid Paid
Provider Details
| Authorized Official | TRAVIS, LISA (BUSINESS MANAGER) |
| NPI Enumeration Date | 10/19/2021 |
Related Entities
Other providers sharing the same authorized official: TRAVIS, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
16 |
$314.52 |
| 2023 |
30 |
$676.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
46 |
38 |
$991.48 |