Dental
Narissa Ambata DDS INC
Narissa Ambata DDS INC was paid $159K by Medicaid between Feb 2018 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoNARISSA AMBATA DDS INC
MAYWOOD, CA 90270
MAYWOOD, CA 90270
33aNPI1467863647assigned 05/09/2014
33bProvider typeDentist
28Total paid$159K
24GClaims5,643
24DCodes billed14
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,215 of 2,314
Median peer was paid$185K
This provider vs. median0.9×
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 | 168 | $2K | |
| 2019 | 137 | $2K | |
| 2020 | 391 | $6K | |
| 2021 | 665 | $15K | |
| 2022 | 1,329 | $41K | |
| 2023 | 1,162 | $30K | |
| 2024incomplete | 1,791 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 438 | 437 | $39K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 505 | 504 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 289 | 288 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 9.8% | 1,148 | 1,140 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.6% | 271 | 270 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 7.0% | 232 | 232 | $11K |
| D0350 | 5.6% | 1,089 | 379 | $9K | |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 1,184 | 791 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 66 | 43 | $4K |
| D9430 | 1.6% | 79 | 76 | $3K | |
| D1320 | 1.5% | 153 | 153 | $2K | |
| D0274 | Bitewings - four radiographic images | 1.1% | 82 | 82 | $2K |
2 more codes
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 officialAMBATA, NARISSA (OWNER)