Dental
Sambath Tiep DDS, PC
Sambath Tiep DDS, PC was paid $386K by Medicaid between Feb 2021 and Dec 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoSAMBATH TIEP DDS, PC
POWAY, CA 92064
POWAY, CA 92064
33aNPI1548804313assigned 11/04/2019
33bProvider typePediatric Dentist
28Total paid$386K
24GClaims13,670
24DCodes billed14
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#178 of 332
Median peer was paid$450K
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 | |
|---|---|---|---|
| 2021 | 994 | $23K | |
| 2022 | 2,559 | $71K | |
| 2023 | 4,206 | $122K | |
| 2024incomplete | 5,911 | $170K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 1,933 | 1,919 | $96K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,173 | 1,165 | $77K |
| D1310 | 14% | 1,169 | 1,162 | $54K | |
| D1206 | Topical application of fluoride varnish | 11% | 1,908 | 1,894 | $42K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.6% | 332 | 185 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 294 | 294 | $20K |
| D0603 | 4.3% | 1,114 | 1,107 | $17K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 394 | 331 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 3,534 | 1,311 | $15K |
| D0272 | Bitewings - two radiographic images | 3.0% | 988 | 982 | $12K |
| D9993 | 1.8% | 122 | 122 | $7K | |
| D0350 | 1.4% | 629 | 305 | $6K |
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 officialTIEP, SAMBATH (OWNER/PRESIDENT)