MODI AND SHAH D.D.S. INC.,
NPI: 1932308079
· MURRIETA, CA 92563
· Dentist
· NPI assigned 07/17/2007
$301K
Total Medicaid Paid
Provider Details
| Authorized Official | MODI, TEJAS (PRESIDENT) |
| NPI Enumeration Date | 07/17/2007 |
Related Entities
Other providers sharing the same authorized official: MODI, TEJAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,239 |
$74K |
| 2019 |
5,509 |
$90K |
| 2020 |
2,498 |
$45K |
| 2021 |
2,026 |
$28K |
| 2022 |
2,126 |
$29K |
| 2023 |
1,725 |
$19K |
| 2024 |
1,147 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,077 |
1,046 |
$64K |
| D0120 |
Periodic oral evaluation - established patient |
1,231 |
1,219 |
$61K |
| D0230 |
Intraoral - periapical each additional radiographic image |
12,847 |
2,451 |
$57K |
| D1110 |
Prophylaxis - adult |
381 |
373 |
$28K |
| D1120 |
Prophylaxis - child |
848 |
846 |
$26K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,838 |
1,825 |
$20K |
| D0274 |
Bitewings - four radiographic images |
1,022 |
1,015 |
$20K |
| D0210 |
Intraoral - complete series of radiographic images |
285 |
278 |
$12K |
| D1351 |
Sealant - per tooth |
388 |
97 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
245 |
243 |
$3K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
19 |
12 |
$1K |
| D0272 |
Bitewings - two radiographic images |
89 |
88 |
$984.00 |