Clinic
M Mallempalli Professional Dental Corporation
M Mallempalli Professional Dental Corporation was paid $64K by Medicaid between Nov 2018 and Nov 2024, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 50% of everything it billed.
33Billing provider infoM MALLEMPALLI PROFESSIONAL DENTAL CORPORATION
IMPERIAL BEACH, CA 91932
IMPERIAL BEACH, CA 91932
33aNPI1679070791assigned 04/06/2018
33bProvider typeDental Clinic/Center
28Total paid$64K
24GClaims1,775
24DCodes billed13
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#758 of 1,135
Median peer was paid$200K
This provider vs. median0.3×
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 | 42 | $2K | |
| 2019 | 412 | $16K | |
| 2020 | 376 | $14K | |
| 2021 | 461 | $17K | |
| 2022 | 79 | $3K | |
| 2023 | 121 | $6K | |
| 2024incomplete | 284 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 50% | 514 | 513 | $32K |
| D0210 | Intraoral - complete series of radiographic images | 20% | 282 | 282 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 110 | 57 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 4.1% | 245 | 244 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.0% | 88 | 88 | $3K |
| D1110 | Prophylaxis - adult | 2.6% | 25 | 25 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.3% | 36 | 36 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 283 | 109 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 72 | 65 | $840.00 |
| D0350 | <1% | 67 | 23 | $585.60 | |
| D0274 | Bitewings - four radiographic images | <1% | 26 | 26 | $550.80 |
| D9430 | <1% | 15 | 13 | $448.00 |
1 more codes
| D1320 | <1% | 12 | $120.00 |
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.
From NPPES
Who's on the registration
Authorized officialMALLEMPALLI, MANIMANJARI (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Mallempalli DDS INC | San Diego, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.