Dental
Ambrose, John
Ambrose, John was paid $733K by Medicaid between Mar 2019 and Apr 2021, across 24 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 30% of everything it billed.
33Billing provider infoAMBROSE, JOHN
ATLANTA, GA 30338
ATLANTA, GA 30338
33aNPI1700972395assigned 10/04/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$733K
24GClaims10,976
24DCodes billed24
24AFirst – last monthMar 2019 – Apr 2021
Compared with peers
Next to other General Practice Dentistry providers in Georgia
Rank by total paid#7 of 63
Median peer was paid$30K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2019 | 9,408 | $686K | |
| 2020 | 1,137 | $31K | |
| 2021 | 431 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 30% | 1,159 | 263 | $218K |
| D9410 | 10% | 151 | 151 | $75K | |
| D2934 | 7.5% | 326 | 112 | $55K | |
| D1120 | Dental cleaning, childProphylaxis - child | 7.0% | 1,536 | 1,531 | $51K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.9% | 480 | 185 | $50K |
| D9999 | Unspecified adjunctive procedure, by report | 4.8% | 88 | 78 | $35K |
| D1206 | Topical application of fluoride varnish | 4.7% | 1,669 | 1,661 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 1,424 | 1,422 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 285 | 162 | $24K |
| D0272 | Bitewings - two radiographic images | 3.0% | 941 | 937 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 183 | 129 | $18K |
| D2332 | 2.2% | 129 | 63 | $16K |
12 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 398 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 157 | $11K |
| D1351 | Sealant - per tooth | 1.4% | 203 | $10K |
| D0330 | Panoramic radiographic image | 1.4% | 175 | $10K |
| D0274 | Bitewings - four radiographic images | 1.3% | 278 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 307 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 653 | $9K |
| D2330 | 1.1% | 99 | $8K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 91 | $7K |
| D1510 | <1% | 28 | $5K | |
| D1110 | Prophylaxis - adult | <1% | 113 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 103 | $2K |
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.