IMAGE FAMILY DENTAL, LLC
NPI: 1649582529
· KENT, WA 98032
· General Practice Dentistry
· NPI assigned 07/08/2010
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | TRAN, DANNY (OWNER/OFFICE MANANGER) |
| NPI Enumeration Date | 07/08/2010 |
Related Entities
Other providers sharing the same authorized official: TRAN, DANNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,674 |
$17K |
| 2019 |
1,753 |
$18K |
| 2020 |
1,517 |
$15K |
| 2021 |
1,207 |
$12K |
| 2022 |
1,933 |
$24K |
| 2023 |
1,111 |
$18K |
| 2024 |
920 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,112 |
1,030 |
$47K |
| D0120 |
Periodic oral evaluation - established patient |
712 |
684 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
1,875 |
1,686 |
$16K |
| D0274 |
Bitewings - four radiographic images |
934 |
862 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,547 |
1,283 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
278 |
276 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
163 |
138 |
$4K |
| D1999 |
|
320 |
261 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
53 |
25 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
36 |
14 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
53 |
51 |
$1K |
| D1120 |
Prophylaxis - child |
32 |
32 |
$666.42 |