IMAGINE DENTAL & ORTHODONTICS LLC
NPI: 1386348787
· ANKENY, IA 50023
· 122300000X
$1.12M
Total Medicaid Paid
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 |
|
330 |
286 |
$938K |
| D0330 |
|
1,409 |
1,386 |
$56K |
| D0340 |
|
1,363 |
1,343 |
$56K |
| D0470 |
|
1,246 |
1,227 |
$41K |
| D0150 |
|
1,097 |
1,077 |
$25K |
| D9310 |
|
226 |
226 |
$6K |