IMAGINE ORTHODONTIC STUDIO PLLC
NPI: 1285200782
· TEMPLE TERRACE, FL 33617
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 06/03/2021
$144K
Total Medicaid Paid
Provider Details
| Authorized Official | HESS, MICHAEL (OWNER) |
| NPI Enumeration Date | 06/03/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
14 |
$1K |
| 2022 |
469 |
$38K |
| 2023 |
808 |
$66K |
| 2024 |
486 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,065 |
1,060 |
$80K |
| D8660 |
|
712 |
706 |
$64K |