Modern Dental Specialist, LLC

Modern Dental Specialist, LLC was paid $150K by Medicaid between Jun 2023 and Dec 2024, across 17 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 14% of everything it billed.

33Billing provider infoMODERN DENTAL SPECIALIST, LLC
LAS VEGAS, NV 89146

33aNPI1962197897assigned 04/06/2023

33bProvider typeOral and Maxillofacial Pathology Dentist

28Total paid$150K

24GClaims7,131

24DCodes billed17

24AFirst – last monthJun 2023 – Dec 2024

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
2023	1,593	$29K
2024incomplete	5,538	$121K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0274	Bitewings - four radiographic images	14%	981	947	$22K
D1120	Dental cleaning, childProphylaxis - child	14%	504	489	$21K
D1206	Topical application of fluoride varnish	12%	534	516	$17K
D0330	Panoramic radiographic image	10%	421	405	$15K
D0150	Comprehensive oral evaluation - new or established patient	9.3%	505	486	$14K
D0220	Intraoral - periapical first radiographic image	9.0%	1,231	1,177	$14K
D1351	Sealant - per tooth	7.0%	495	137	$11K
D0230	Intraoral - periapical each additional radiographic image	6.4%	1,670	1,210	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.0%	311	300	$7K
D0140	Limited oral evaluation - problem focused	4.3%	199	193	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.3%	90	51	$5K
D2930	Prefabricated stainless steel crown - primary tooth	2.7%	62	12	$4K

5 more codes

D8660		1.4%	57	$2K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	<1%	33	$969.15
D0340		<1%	12	$516.48
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	13	$232.32
D0272	Bitewings - two radiographic images	<1%	13	$223.67

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 officialKOHANTEB, BENNY (DENTIST)

Same official

Other billing entities under KOHANTEB, BENNY

Full network →

Provider	Location	Paid
Modern Dental Specialist, LLC	Henderson, NV	$40K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.