Emmanuelli, Ismael

Emmanuelli, Ismael was paid $37K by Medicaid between Jan 2018 and Aug 2022, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.

33Billing provider infoEMMANUELLI, ISMAEL
JUANA DIAZ, PR 00795

33aNPI1225135023assigned 09/20/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$37K

24GClaims2,570

24DCodes billed11

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#364 of 551

Median peer was paid$99K

This provider vs. median0.4×

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	1,915	$29K
2019	159	$3K
2020	99	$1K
2021	317	$3K
2022	80	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	27%	510	403	$10K
D2150	Silver amalgam - two surfaces, primary or permanent	19%	320	150	$7K
D2140		17%	301	100	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.2%	314	246	$3K
D1999		8.1%	303	249	$3K
D0330	Panoramic radiographic image	7.0%	103	70	$3K
D0140	Limited oral evaluation - problem focused	6.1%	406	253	$2K
D0150	Comprehensive oral evaluation - new or established patient	3.3%	105	71	$1K
D0220	Intraoral - periapical first radiographic image	1.7%	148	126	$634.16
D1208	Topical application of fluoride, excluding varnish	1.6%	44	44	$596.64
D7140	Extraction, erupted tooth or exposed root	<1%	16	12	$359.42

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.