Managed care
New Image Dentistry
New Image Dentistry was paid $678K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoNEW IMAGE DENTISTRY
NATIONAL CITY, CA 91950
NATIONAL CITY, CA 91950
33aNPI1952647208assigned 12/13/2012
33bProvider typePreferred Provider Organization
28Total paid$678K
24GClaims19,928
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in California
Rank by total paid#20 of 100
Median peer was paid$80K
This provider vs. median8.5×
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 | 3,139 | $96K | |
| 2019 | 3,146 | $97K | |
| 2020 | 1,845 | $64K | |
| 2021 | 2,675 | $86K | |
| 2022 | 3,039 | $105K | |
| 2023 | 3,205 | $119K | |
| 2024incomplete | 2,879 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 1,982 | 1,969 | $167K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 1,640 | 803 | $107K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,827 | 1,819 | $103K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 1,290 | 1,289 | $81K |
| D0210 | Intraoral - complete series of radiographic images | 5.4% | 803 | 801 | $37K |
| D0350 | 4.7% | 3,580 | 1,260 | $32K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 4.0% | 57 | 38 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 3.5% | 1,809 | 1,798 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 600 | 598 | $22K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 412 | 221 | $22K |
| D0274 | Bitewings - four radiographic images | 3.1% | 1,000 | 993 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 4,276 | 1,882 | $17K |
5 more codes
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 officialALFONSO, ROSSANA (OWNER)
Parent organizationMIRA MESA DENTAL CARE