Dental
Mary R. Pham, D.D.S., INC.
Mary R. Pham, D.D.S., INC. was paid $6.78M by Medicaid between Apr 2019 and Dec 2024, across 31 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoMARY R. PHAM, D.D.S., INC.
COSTA MESA, CA 92626
COSTA MESA, CA 92626
33aNPI1164986220assigned 01/23/2019
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$6.78M
24GClaims275,770
24DCodes billed31
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in California
Rank by total paid#18 of 251
Median peer was paid$303K
This provider vs. median22×
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 | 8,042 | $192K | |
| 2020 | 24,107 | $612K | |
| 2021 | 48,507 | $1.19M | |
| 2022 | 58,677 | $1.50M | |
| 2023 | 65,051 | $1.62M | |
| 2024incomplete | 71,386 | $1.65M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 27,016 | 26,930 | $1.23M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 16,541 | 16,480 | $1.08M |
| D1310 | 11% | 16,377 | 16,331 | $746K | |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 98,229 | 20,387 | $394K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 5,249 | 5,234 | $360K |
| D1206 | Topical application of fluoride varnish | 5.1% | 12,935 | 12,896 | $349K |
| D9993 | 4.8% | 5,262 | 5,261 | $323K | |
| D0145 | Oral evaluation for a patient under three years of age | 4.0% | 3,918 | 3,909 | $268K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 3.0% | 319 | 252 | $205K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.9% | 2,982 | 2,077 | $198K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 16,595 | 16,289 | $197K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 4,818 | 4,592 | $193K |
19 more codes
| D1351 | Sealant - per tooth | 2.7% | 5,656 | $186K |
| D0603 | 2.4% | 10,832 | $161K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.3% | 12,560 | $156K |
| D9430 | 1.4% | 2,944 | $94K | |
| D0350 | 1.2% | 9,760 | $80K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,253 | $67K |
| D0602 | <1% | 4,404 | $66K | |
| D0272 | Bitewings - two radiographic images | <1% | 5,532 | $65K |
| D1354 | <1% | 4,711 | $56K | |
| D9920 | <1% | 595 | $54K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 373 | $45K |
| D1320 | <1% | 3,619 | $36K | |
| D0340 | <1% | 643 | $32K | |
| D9222 | <1% | 251 | $31K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 494 | $28K |
| D0330 | Panoramic radiographic image | <1% | 787 | $23K |
| D0140 | Limited oral evaluation - problem focused | <1% | 698 | $23K |
| D9610 | <1% | 315 | $22K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 102 | $10K |
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 officialPHAM, PAUL (MANAGER)