Dental
Amy Berhanu Demissie DDS PC
Amy Berhanu Demissie DDS PC was paid $394K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.
33Billing provider infoAMY BERHANU DEMISSIE DDS PC
BANNING, CA 92220
BANNING, CA 92220
33aNPI1215009246assigned 11/14/2006
33bProvider typeDentist
28Total paid$394K
24GClaims16,687
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#869 of 2,314
Median peer was paid$185K
This provider vs. median2.1×
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 | 2,578 | $43K | |
| 2019 | 2,204 | $43K | |
| 2020 | 1,552 | $35K | |
| 2021 | 2,684 | $65K | |
| 2022 | 3,281 | $94K | |
| 2023 | 2,418 | $62K | |
| 2024incomplete | 1,970 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 1,971 | 1,968 | $108K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,666 | 1,664 | $59K |
| D1110 | Prophylaxis - adult | 12% | 538 | 537 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 606 | 606 | $40K |
| D1208 | Topical application of fluoride, excluding varnish | 8.7% | 2,889 | 2,885 | $34K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 5,950 | 1,995 | $24K |
| D0210 | Intraoral - complete series of radiographic images | 5.0% | 419 | 419 | $20K |
| D9430 | 4.9% | 603 | 594 | $19K | |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 1,312 | 1,277 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 214 | 111 | $12K |
| D0274 | Bitewings - four radiographic images | 2.2% | 410 | 408 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 51 | 37 | $3K |
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 officialDEMISSIE, AMSALE (PRESIDENT)