Dental
Image Dentistry PA
Image Dentistry PA was paid $50K by Medicaid between Feb 2023 and Nov 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.
33Billing provider infoIMAGE DENTISTRY PA
OVERLAND PARK, KS 66223
OVERLAND PARK, KS 66223
33aNPI1497092050assigned 01/15/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$50K
24GClaims1,368
24DCodes billed8
24AFirst – last monthFeb 2023 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#96 of 203
Median peer was paid$40K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2023 | 764 | $31K | |
| 2024incomplete | 604 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 38% | 440 | 429 | $19K |
| D0274 | Bitewings - four radiographic images | 17% | 286 | 281 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 317 | 304 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 71 | 31 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.0% | 139 | 138 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 49 | 16 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 1.9% | 54 | 51 | $934.08 |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 12 | 12 | $763.20 |
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 officialSOBOLEVSKAYA, SVETLANA (DENTIST)