EMB DENTAL, LLC
NPI: 1952846370
· SUDBURY, MA 01776
· Dentist
· NPI assigned 12/20/2016
$222K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: ALVI-SHAH, MARHAMA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
27 |
$1K |
| 2020 |
261 |
$10K |
| 2021 |
422 |
$15K |
| 2022 |
654 |
$44K |
| 2023 |
989 |
$91K |
| 2024 |
879 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
122 |
86 |
$83K |
| D1110 |
Prophylaxis - adult |
1,522 |
1,433 |
$76K |
| D2950 |
|
156 |
120 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
923 |
902 |
$20K |
| D0274 |
Bitewings - four radiographic images |
189 |
189 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
171 |
156 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
47 |
43 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
23 |
12 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
40 |
39 |
$606.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
23 |
13 |
$295.00 |
| D1330 |
|
16 |
16 |
$0.00 |