Ebba, Mary

Ebba, Mary was paid $38K by Medicaid between Jan 2018 and Mar 2022, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 55% of everything it billed.

33Billing provider infoEBBA, MARY
GLENDORA, CA 91740

33aNPI1427115013assigned 01/02/2007

33bProvider typeDentist

28Total paid$38K

24GClaims1,373

24DCodes billed8

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,616 of 2,314

Median peer was paid$185K

This provider vs. median0.2×

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	463	$7K
2019	276	$11K
2020	261	$8K
2021	303	$10K
2022	70	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	55%	277	275	$21K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	243	242	$11K
D0230	Intraoral - periapical each additional radiographic image	7.1%	716	274	$3K
D1120	Dental cleaning, childProphylaxis - child	3.1%	40	40	$1K
D0274	Bitewings - four radiographic images	3.1%	58	58	$1K
D0150	Comprehensive oral evaluation - new or established patient	1.2%	13	13	$455.00
D0220	Intraoral - periapical first radiographic image	<1%	14	14	$140.00
D1208	Topical application of fluoride, excluding varnish	<1%	12	12	$116.00

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.