New Image Dentistry, PC

New Image Dentistry, PC was paid $21K by Medicaid between Mar 2022 and Jan 2024, across 8 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 51% of everything it billed.

33Billing provider infoNEW IMAGE DENTISTRY, PC
EDMOND, OK 73013

33aNPI1568630648assigned 02/12/2008

33bProvider typeDentist

28Total paid$21K

24GClaims474

24DCodes billed8

24AFirst – last monthMar 2022 – Jan 2024

Compared with peers

Next to other Dentist providers in Oklahoma

Rank by total paid#108 of 150

Median peer was paid$154K

This provider vs. median0.1×

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
2022	142	$9K
2023	320	$12K
2024incomplete	12	$521.55

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	51%	81	37	$11K
D1110	Prophylaxis - adult	21%	108	108	$5K
D0274	Bitewings - four radiographic images	8.0%	64	64	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.8%	85	85	$2K
D0220	Intraoral - periapical first radiographic image	3.6%	53	53	$764.72
D0150	Comprehensive oral evaluation - new or established patient	3.5%	27	27	$748.34
D1208	Topical application of fluoride, excluding varnish	3.0%	44	44	$655.32
D0330	Panoramic radiographic image	2.3%	12	12	$502.59

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 officialNOSRATI, MIRIAM (DENTIST)