Dental
Imbrogno, Theadora
Imbrogno, Theadora was paid $442K by Medicaid between Jan 2024 and Dec 2024, across 14 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoIMBROGNO, THEADORA
FAYETTE CITY, PA 15438
FAYETTE CITY, PA 15438
33aNPI1871202440assigned 11/22/2022
33bProvider typeDentist
28Total paid$442K
24GClaims5,660
24DCodes billed14
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#54 of 683
Median peer was paid$34K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2024incomplete | 5,660 | $442K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 2,003 | 1,798 | $442K |
| D1206 | Topical application of fluoride varnish | 0% | 486 | 486 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 245 | 245 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 135 | 135 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 667 | 667 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 143 | 127 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 28 | 12 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 242 | 237 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 52 | 44 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 362 | 362 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 306 | 306 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 622 | 622 | $0.00 |
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.