MODERN DENTAL SPECIALIST, LLC
NPI: 1912607433
· LAS VEGAS, NV 89107
· Periodontist
· NPI assigned 03/03/2023
Provider Details
Related Entities
Other providers sharing the same authorized official: SAVCIC, ANASTASIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,815 |
$36K |
| 2024 |
2,923 |
$58K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
630 |
616 |
$23K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
682 |
655 |
$18K |
| D0274 |
Bitewings - four radiographic images |
767 |
734 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
915 |
875 |
$11K |
| D1351 |
Sealant - per tooth |
364 |
43 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,005 |
860 |
$6K |
| D1206 |
Topical application of fluoride varnish |
115 |
112 |
$4K |
| D1120 |
Prophylaxis - child |
91 |
90 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
81 |
80 |
$3K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
73 |
31 |
$2K |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$237.60 |