MODERN DENTAL PROFESSIONALS, MN PC
NPI: 1679853451
· RENVILLE, MN 56284
· General Practice Dentistry
· NPI assigned 08/24/2011
Provider Details
| Authorized Official | MYER, JAMES (CFO) |
| NPI Enumeration Date | 08/24/2011 |
Related Entities
Other providers sharing the same authorized official: MYER, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
822 |
$3K |
| 2019 |
643 |
$17K |
| 2020 |
142 |
$3K |
| 2021 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
508 |
504 |
$9K |
| D1120 |
Prophylaxis - child |
434 |
428 |
$8K |
| D1206 |
Topical application of fluoride varnish |
535 |
527 |
$7K |
| D0274 |
Bitewings - four radiographic images |
63 |
63 |
$473.96 |
| D1110 |
Prophylaxis - adult |
53 |
53 |
$0.00 |
| D1999 |
|
27 |
26 |
$0.00 |