NEW IMAGE DENTAL, PLLC
NPI: 1407035892
· ROGERS, AR 72756
· General Practice Dentistry
· NPI assigned 11/01/2007
$181K
Total Medicaid Paid
Provider Details
| Authorized Official | BAXTER, JOHN (GENERAL DENTIST) |
| NPI Enumeration Date | 11/01/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,952 |
$52K |
| 2019 |
1,284 |
$33K |
| 2020 |
461 |
$11K |
| 2021 |
746 |
$20K |
| 2022 |
1,130 |
$30K |
| 2023 |
813 |
$22K |
| 2024 |
404 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,566 |
1,468 |
$68K |
| D0120 |
Periodic oral evaluation - established patient |
2,424 |
2,248 |
$58K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,946 |
1,797 |
$36K |
| D0272 |
Bitewings - two radiographic images |
667 |
606 |
$14K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
155 |
117 |
$4K |
| D1120 |
Prophylaxis - child |
32 |
26 |
$981.90 |