IMAGINE DENTAL & ORTHODONTICS LLC
NPI: 1386348787
· ANKENY, IA 50023
· Dentist
· NPI assigned 03/29/2023
$1.12M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
2,239 |
$433K |
| 2024 |
3,432 |
$689K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
330 |
286 |
$938K |
| D0330 |
Panoramic radiographic image |
1,409 |
1,386 |
$56K |
| D0340 |
|
1,363 |
1,343 |
$56K |
| D0470 |
|
1,246 |
1,227 |
$41K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,097 |
1,077 |
$25K |
| D9310 |
|
226 |
226 |
$6K |