Clinic
Image Dental Care LLC
Image Dental Care LLC was paid $151K by Medicaid between Apr 2024 and Dec 2024, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 49% of everything it billed.
33Billing provider infoIMAGE DENTAL CARE LLC
BURTONSVILLE, MD 20866
BURTONSVILLE, MD 20866
33aNPI1205686052assigned 03/25/2024
33bProvider typeDental Clinic/Center
28Total paid$151K
24GClaims2,399
24DCodes billed12
24AFirst – last monthApr 2024 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Maryland
Rank by total paid#80 of 133
Median peer was paid$216K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2024incomplete | 2,399 | $151K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 49% | 531 | 177 | $74K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 17% | 243 | 113 | $26K |
| D1110 | Prophylaxis - adult | 12% | 274 | 274 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.2% | 247 | 247 | $8K |
| D1206 | Topical application of fluoride varnish | 4.8% | 278 | 278 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.4% | 21 | 13 | $4K |
| D0274 | Bitewings - four radiographic images | 2.4% | 151 | 151 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 290 | 275 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 56 | 56 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 56 | 56 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 227 | 224 | $1K |
| D1330 | <1% | 25 | 25 | $180.00 |
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 officialELKHATEEB, MOHAMMAD (OWNER)