MODLIN& LONDRY IV DDS PLLC
NPI: 1821569732
· CHARLOTTE, NC 28277
· General Practice Dentistry
· NPI assigned 12/17/2018
$130K
Total Medicaid Paid
Provider Details
| Authorized Official | TRAVIS, LISA (BUSINESS MANAGER) |
| NPI Enumeration Date | 12/17/2018 |
Related Entities
Other providers sharing the same authorized official: TRAVIS, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
136 |
$3K |
| 2020 |
279 |
$5K |
| 2021 |
587 |
$14K |
| 2022 |
465 |
$14K |
| 2023 |
876 |
$28K |
| 2024 |
2,069 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,306 |
1,208 |
$44K |
| D0120 |
Periodic oral evaluation - established patient |
1,104 |
1,032 |
$25K |
| D0274 |
Bitewings - four radiographic images |
631 |
582 |
$18K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
330 |
291 |
$12K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
98 |
53 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
292 |
241 |
$9K |
| D0330 |
Panoramic radiographic image |
163 |
147 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
272 |
229 |
$3K |
| D1206 |
Topical application of fluoride varnish |
89 |
80 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
33 |
12 |
$288.23 |
| D1999 |
|
94 |
82 |
$0.00 |