Dental
Mary Pham Ikeda Dental Corporation
Mary Pham Ikeda Dental Corporation was paid $1.08M by Medicaid between Sep 2022 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoMARY PHAM IKEDA DENTAL CORPORATION
CERRITOS, CA 90703
CERRITOS, CA 90703
33aNPI1518554641assigned 12/22/2020
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$1.08M
24GClaims43,650
24DCodes billed26
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in California
Rank by total paid#76 of 251
Median peer was paid$303K
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2022 | 2,999 | $78K | |
| 2023 | 17,405 | $434K | |
| 2024incomplete | 23,246 | $566K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 4,198 | 4,189 | $215K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,963 | 1,962 | $130K |
| D1310 | 10% | 2,476 | 2,467 | $112K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.5% | 1,538 | 1,531 | $103K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 15,790 | 3,206 | $63K |
| D1206 | Topical application of fluoride varnish | 5.7% | 1,982 | 1,974 | $61K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.1% | 834 | 581 | $55K |
| D0145 | Oral evaluation for a patient under three years of age | 4.7% | 743 | 742 | $51K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.9% | 1,045 | 938 | $42K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 2,916 | 2,804 | $35K |
| D1351 | Sealant - per tooth | 2.9% | 819 | 247 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 1,863 | 1,861 | $25K |
14 more codes
| D9920 | 2.1% | 206 | $22K | |
| D9430 | 1.9% | 657 | $21K | |
| D0603 | 1.9% | 1,404 | $21K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 307 | $16K |
| D0602 | 1.4% | 1,037 | $15K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 234 | $13K |
| D1320 | 1.1% | 1,147 | $11K | |
| D0350 | 1.0% | 1,241 | $11K | |
| D0272 | Bitewings - two radiographic images | <1% | 696 | $8K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 54 | $6K |
| D1354 | <1% | 396 | $5K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 46 | $5K |
| D9610 | <1% | 42 | $1K | |
| D9995 | <1% | 16 | $24.96 |
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 officialPHAM, MARY (CEO PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Mary Regina Pham D.D.S., M.S. Dental Corporation | Placentia, CA | $15.02M |
| Mary Pham DDS Dental Corporation | Tustin, CA | $916K |
| Mary R Pham DDS Dental Corporation | Lake Forest, CA | $289K |
| Mary Pham Ikeda DDS MS INC | Long Beach, CA | $47K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.