Dental
Vicuna, Emerson
Vicuna, Emerson was paid $156K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 36% of everything it billed.
33Billing provider infoVICUNA, EMERSON
ALBUQUERQUE, NM 87105
ALBUQUERQUE, NM 87105
33aNPI1366561060assigned 03/27/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$156K
24GClaims4,148
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#70 of 202
Median peer was paid$44K
This provider vs. median3.6×
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 | 1,190 | $50K | |
| 2019 | 916 | $35K | |
| 2020 | 43 | $2K | |
| 2021 | 136 | $5K | |
| 2022 | 639 | $23K | |
| 2023 | 813 | $27K | |
| 2024incomplete | 411 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 36% | 1,667 | 1,666 | $57K |
| D0330 | Panoramic radiographic image | 22% | 660 | 659 | $34K |
| D1110 | Prophylaxis - adult | 21% | 741 | 741 | $32K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 10% | 144 | 95 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 564 | 555 | $6K |
| D0140 | Limited oral evaluation - problem focused | 2.7% | 154 | 153 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.4% | 31 | 18 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 42 | 14 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 90 | 85 | $914.44 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 28 | 28 | $873.21 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 27 | 27 | $480.09 |
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.