Clinic
Mia Larissa Ancheta, DDS, a Dental Corporation
Mia Larissa Ancheta, DDS, a Dental Corporation was paid $1.03M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoMIA LARISSA ANCHETA, DDS, A DENTAL CORPORATION
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1306398680assigned 11/02/2016
33bProvider typeDental Clinic/Center
28Total paid$1.03M
24GClaims61,976
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#241 of 1,135
Median peer was paid$200K
This provider vs. median5.1×
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 | 10,296 | $134K | |
| 2019 | 8,903 | $120K | |
| 2020 | 6,345 | $82K | |
| 2021 | 8,011 | $115K | |
| 2022 | 7,969 | $163K | |
| 2023 | 9,032 | $183K | |
| 2024incomplete | 11,420 | $231K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 4,056 | 4,048 | $236K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 4,455 | 4,435 | $167K |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 33,988 | 6,479 | $138K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.8% | 1,566 | 1,561 | $90K |
| D1110 | Prophylaxis - adult | 8.5% | 1,017 | 1,013 | $87K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 5,715 | 5,692 | $66K |
| D0274 | Bitewings - four radiographic images | 4.0% | 2,017 | 2,012 | $41K |
| D0272 | Bitewings - two radiographic images | 3.1% | 2,727 | 2,719 | $32K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.5% | 394 | 236 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 2,118 | 1,953 | $25K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 371 | 207 | $25K |
| D0350 | 1.7% | 2,041 | 857 | $17K |
13 more codes
| D1351 | Sealant - per tooth | 1.6% | 638 | $16K |
| D2751 | Crown - porcelain fused to predominantly base metal | 1.5% | 33 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 226 | $12K |
| D4341 | <1% | 152 | $10K | |
| D4910 | <1% | 95 | $7K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 26 | $6K |
| D1310 | <1% | 55 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 143 | $2K |
| D9430 | <1% | 64 | $2K | |
| D2160 | <1% | 14 | $1K | |
| D9993 | <1% | 41 | $975.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 12 | $420.00 |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 12 | $38.64 |
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 officialANCHETA, MIA (CEO)