Dental
Mallipeddi, Ambica
Mallipeddi, Ambica was paid $269K by Medicaid between Sep 2023 and Nov 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoMALLIPEDDI, AMBICA
JACKSON, NJ 08527
JACKSON, NJ 08527
33aNPI1467045518assigned 02/18/2021
33bProvider typePediatric Dentist
28Total paid$269K
24GClaims11,125
24DCodes billed17
24AFirst – last monthSep 2023 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in New Jersey
Rank by total paid#98 of 190
Median peer was paid$275K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2023 | 3,447 | $83K | |
| 2024incomplete | 7,678 | $186K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 1,181 | 1,179 | $63K |
| D1351 | Sealant - per tooth | 21% | 2,467 | 494 | $56K |
| D1206 | Topical application of fluoride varnish | 14% | 1,208 | 1,207 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,054 | 1,052 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.7% | 339 | 181 | $23K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 283 | 282 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 1,095 | 1,089 | $7K |
| D0272 | Bitewings - two radiographic images | 2.6% | 583 | 581 | $7K |
| D0603 | 2.5% | 1,199 | 1,197 | $7K | |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 181 | 174 | $6K |
| D0274 | Bitewings - four radiographic images | 1.8% | 342 | 340 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 914 | 909 | $4K |
5 more codes
| D9920 | 1.1% | 162 | $3K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 22 | $3K |
| D0330 | Panoramic radiographic image | <1% | 44 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 22 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 29 | $952.00 |
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.