Dental
Londry & Modlin Xiv DDS PLLC
Londry & Modlin Xiv DDS PLLC was paid $245K by Medicaid between Jul 2024 and Dec 2024, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoLONDRY & MODLIN XIV DDS PLLC
STATESVILLE, NC 28625
STATESVILLE, NC 28625
33aNPI1851134829assigned 06/17/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$245K
24GClaims10,317
24DCodes billed20
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#304 of 756
Median peer was paid$121K
This provider vs. median2.0×
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 | 10,317 | $245K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 1,365 | 1,080 | $39K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,620 | 1,291 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 412 | 252 | $28K |
| D0330 | Panoramic radiographic image | 8.1% | 493 | 395 | $20K |
| D0274 | Bitewings - four radiographic images | 7.6% | 794 | 633 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.3% | 194 | 151 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.4% | 600 | 489 | $13K |
| D1206 | Topical application of fluoride varnish | 5.2% | 968 | 770 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.1% | 1,291 | 565 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 383 | 300 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 1,060 | 834 | $12K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 210 | 176 | $6K |
8 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 166 | $6K |
| D0272 | Bitewings - two radiographic images | 1.4% | 230 | $3K |
| D1351 | Sealant - per tooth | 1.3% | 167 | $3K |
| D2330 | 1.1% | 49 | $3K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 188 | $2K |
| D2140 | <1% | 34 | $2K | |
| D0240 | <1% | 80 | $1K | |
| D4355 | <1% | 13 | $770.84 |
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)
| Provider | Location | Paid |
|---|---|---|
| Londry Modlin Tucker DDS PLLC | Statesville, NC | $1.43M |
| Londry, Modlin, Tucker IV DDS PLLC | Waxhaw, NC | $65K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.