Dental
Immanni, Gangadhar
Immanni, Gangadhar was paid $24K by Medicaid between Jan 2018 and Feb 2018, across 1 billing code. Its largest line is D0999, Unspecified diagnostic procedure, by report — 100% of everything it billed.
33Billing provider infoIMMANNI, GANGADHAR
PORTALES, NM 88130
PORTALES, NM 88130
33aNPI1912285032assigned 07/22/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$24K
24GClaims159
24DCodes billed1
24AFirst – last monthJan 2018 – Feb 2018
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#123 of 202
Median peer was paid$44K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2018 | 159 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 100% | 159 | 145 | $24K |
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.