Dental
Emmanuel Kandkhorov, D.D.S., INC.
Emmanuel Kandkhorov, D.D.S., INC. was paid $303K by Medicaid between Jul 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoEMMANUEL KANDKHOROV, D.D.S., INC.
IRVINE, CA 92604
IRVINE, CA 92604
33aNPI1376825794assigned 09/12/2011
33bProvider typeDentist
28Total paid$303K
24GClaims7,681
24DCodes billed17
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#974 of 2,314
Median peer was paid$185K
This provider vs. median1.6×
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 | 73 | $3K | |
| 2019 | 293 | $14K | |
| 2020 | 323 | $13K | |
| 2021 | 697 | $22K | |
| 2022 | 1,205 | $44K | |
| 2023 | 1,840 | $62K | |
| 2024incomplete | 3,250 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 723 | 721 | $65K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 894 | 891 | $59K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 680 | 677 | $32K |
| D2751 | Crown - porcelain fused to predominantly base metal | 8.9% | 57 | 30 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.5% | 291 | 291 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.1% | 321 | 172 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 6.3% | 1,379 | 1,375 | $19K |
| D9430 | 3.0% | 285 | 260 | $9K | |
| D0330 | Panoramic radiographic image | 2.5% | 250 | 250 | $7K |
| D0274 | Bitewings - four radiographic images | 2.4% | 375 | 375 | $7K |
| D0350 | 2.1% | 681 | 226 | $6K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.1% | 134 | 134 | $6K |
5 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 97 | $5K |
| D2954 | 1.7% | 51 | $5K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 1,210 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 39 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 214 | $3K |
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 officialKANDKHOROV, EMMANUEL (PRESIDENT)