Dental
Larissa Gushansky, DDS INC.
Larissa Gushansky, DDS INC. was paid $0.00 by Medicaid between Mar 2019 and Mar 2019, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 0% of everything it billed.
33Billing provider infoLARISSA GUSHANSKY, DDS INC.
POMONA, CA 91766
POMONA, CA 91766
33aNPI1013102029assigned 09/12/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$0.00
24GClaims50
24DCodes billed4
24AFirst – last monthMar 2019 – Mar 2019
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,619 of 2,668
Median peer was paid$173K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 50 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 12 | 12 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 13 | 13 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 13 | 13 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 12 | 12 | $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 officialGUSHANSKY, LARISSA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Larissa Gushansky, DDS INC. | South Gate, CA | $223K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.