Dental
Londry, Modlin, Tucker IV DDS PLLC
Londry, Modlin, Tucker IV DDS PLLC was paid $65K by Medicaid between Jun 2024 and Dec 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.
33Billing provider infoLONDRY, MODLIN, TUCKER IV DDS PLLC
WAXHAW, NC 28173
WAXHAW, NC 28173
33aNPI1689427767assigned 04/09/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$65K
24GClaims3,045
24DCodes billed12
24AFirst – last monthJun 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#439 of 756
Median peer was paid$121K
This provider vs. median0.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 3,045 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 803 | 570 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 570 | 434 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 110 | 63 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 751 | 533 | $9K |
| D1110 | Prophylaxis - adult | 9.4% | 247 | 170 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.7% | 160 | 129 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.2% | 41 | 31 | $3K |
| D0272 | Bitewings - two radiographic images | 3.6% | 153 | 136 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 120 | 91 | $1K |
| D0274 | Bitewings - four radiographic images | 1.2% | 26 | 26 | $786.90 |
| D1351 | Sealant - per tooth | <1% | 36 | 13 | $388.57 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 28 | 12 | $315.27 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCHAFFIN, MARY (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Londry Modlin Tucker DDS PLLC | Statesville, NC | $1.43M |
| Londry & Modlin Xiv DDS PLLC | Statesville, NC | $245K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.