Dental
Modern Legacy, INC.
Modern Legacy, INC. was paid $795K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoMODERN LEGACY, INC.
LATTA, SC 29565
LATTA, SC 29565
33aNPI1992032486assigned 11/04/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$795K
24GClaims24,227
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#50 of 331
Median peer was paid$75K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2018 | 4,859 | $161K | |
| 2019 | 4,970 | $158K | |
| 2020 | 3,809 | $119K | |
| 2021 | 3,194 | $110K | |
| 2022 | 2,683 | $87K | |
| 2023 | 2,385 | $76K | |
| 2024incomplete | 2,327 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 2,492 | 2,492 | $124K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 3,463 | 3,463 | $121K |
| D7140 | Extraction, erupted tooth or exposed root | 15% | 1,364 | 922 | $118K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 4,500 | 4,500 | $104K |
| D0140 | Limited oral evaluation - problem focused | 9.3% | 1,959 | 1,953 | $74K |
| D0272 | Bitewings - two radiographic images | 6.7% | 2,849 | 2,849 | $53K |
| D1208 | Topical application of fluoride, excluding varnish | 5.4% | 2,657 | 2,657 | $43K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 912 | 912 | $38K |
| D0330 | Panoramic radiographic image | 3.8% | 644 | 644 | $30K |
| D0274 | Bitewings - four radiographic images | 3.4% | 1,025 | 1,025 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 272 | 191 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 1,838 | 1,813 | $21K |
3 more codes
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 officialSPRATTLING, JACHELLE (SECRETARY)