Dental
Emmanuel Dental P.A.
Emmanuel Dental P.A. was paid $37K by Medicaid between Dec 2020 and Oct 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.
33Billing provider infoEMMANUEL DENTAL P.A.
RICHARDSON, TX 75081
RICHARDSON, TX 75081
33aNPI1811227473assigned 01/05/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$37K
24GClaims2,149
24DCodes billed11
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,462 of 2,774
Median peer was paid$43K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 252 | $5K | |
| 2021 | 471 | $7K | |
| 2022 | 741 | $14K | |
| 2023 | 537 | $8K | |
| 2024incomplete | 148 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 394 | 393 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 200 | 200 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 378 | 374 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 506 | 332 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 358 | 352 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.6% | 37 | 13 | $4K |
| D0272 | Bitewings - two radiographic images | 3.5% | 58 | 57 | $1K |
| D1110 | Prophylaxis - adult | 1.8% | 14 | 14 | $658.56 |
| D0274 | Bitewings - four radiographic images | 1.1% | 12 | 12 | $415.32 |
| D0603 | 0% | 134 | 133 | $0.00 | |
| D0601 | 0% | 58 | 58 | $0.00 |
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 officialTHOMAS, PRAMOD (PRESIDENT)