IMAGINE DENTAL
NPI: 1043623770
· PHOENIX, AZ 85013
· Dentist
· NPI assigned 06/10/2014
Provider Details
| Authorized Official | LILIEN, BRIAN (OWNER) |
| Parent Organization | DENTAL SPECIALTY ASSOCIATES |
| NPI Enumeration Date | 06/10/2014 |
Related Entities
Other providers sharing the same authorized official: LILIEN, BRIAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
252 |
$16K |
| 2024 |
287 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
386 |
382 |
$18K |
| D9222 |
|
14 |
14 |
$8K |
| D0330 |
Panoramic radiographic image |
80 |
80 |
$5K |
| D7240 |
Removal of impacted tooth - completely bony |
21 |
12 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$133.92 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$110.04 |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
14 |
14 |
$0.00 |