EMMET DENTAL PC
NPI: 1558379487
· JAMAICA, NY 11432
· Dentist
· NPI assigned 08/04/2006
$843K
Total Medicaid Paid
Provider Details
| Authorized Official | KORORI, EMIL (PRESIDENT) |
| NPI Enumeration Date | 08/04/2006 |
Related Entities
Other providers sharing the same authorized official: KORORI, EMIL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,178 |
$51K |
| 2019 |
4,082 |
$64K |
| 2020 |
4,684 |
$65K |
| 2021 |
9,522 |
$177K |
| 2022 |
9,940 |
$198K |
| 2023 |
8,521 |
$160K |
| 2024 |
6,700 |
$127K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
5,700 |
5,692 |
$197K |
| D0120 |
Periodic oral evaluation - established patient |
6,960 |
6,959 |
$136K |
| D0210 |
Intraoral - complete series of radiographic images |
5,897 |
5,884 |
$109K |
| D0230 |
Intraoral - periapical each additional radiographic image |
6,526 |
6,482 |
$99K |
| D0220 |
Intraoral - periapical first radiographic image |
7,298 |
7,279 |
$77K |
| D1120 |
Prophylaxis - child |
2,308 |
2,308 |
$70K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,323 |
2,316 |
$47K |
| D1208 |
Topical application of fluoride, excluding varnish |
3,758 |
3,758 |
$41K |
| D0272 |
Bitewings - two radiographic images |
2,218 |
2,217 |
$24K |
| D1351 |
Sealant - per tooth |
562 |
150 |
$24K |
| D9110 |
|
1,077 |
1,072 |
$15K |
| D4341 |
|
119 |
50 |
$4K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
12 |
12 |
$400.48 |
| D0601 |
|
60 |
60 |
$60.00 |
| D1999 |
|
1,809 |
1,689 |
$0.00 |