Dental
Larissa Gushansky, DDS INC.
Larissa Gushansky, DDS INC. was paid $223K by Medicaid between Jan 2018 and Oct 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoLARISSA GUSHANSKY, DDS INC.
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1154516680assigned 09/07/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$223K
24GClaims14,329
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,243 of 2,668
Median peer was paid$173K
This provider vs. median1.3×
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 | 3,775 | $58K | |
| 2019 | 3,021 | $52K | |
| 2020 | 2,079 | $33K | |
| 2021 | 2,049 | $24K | |
| 2022 | 1,285 | $15K | |
| 2023 | 1,320 | $31K | |
| 2024incomplete | 800 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 971 | 965 | $43K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 6,211 | 1,999 | $28K |
| D9430 | 11% | 790 | 762 | $24K | |
| D0220 | Intraoral - periapical first radiographic image | 11% | 2,079 | 1,739 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.5% | 360 | 356 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 570 | 564 | $17K |
| D2751 | Crown - porcelain fused to predominantly base metal | 7.5% | 35 | 25 | $17K |
| D0210 | Intraoral - complete series of radiographic images | 6.1% | 326 | 322 | $14K |
| D0272 | Bitewings - two radiographic images | 4.9% | 953 | 942 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 928 | 921 | $9K |
| D0350 | 3.9% | 979 | 636 | $9K | |
| D1110 | Prophylaxis - adult | 1.3% | 47 | 47 | $3K |
3 more codes
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. | Pomona, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.