Ellen Im DDS INC

Ellen Im DDS INC was paid $25K by Medicaid between Jan 2023 and Dec 2023, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 39% of everything it billed.

33Billing provider infoELLEN IM DDS INC
POWAY, CA 92064

33aNPI1861091720assigned 10/21/2020

33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist

28Total paid$25K

24GClaims1,169

24DCodes billed9

24AFirst – last monthJan 2023 – Dec 2023

Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in California

Rank by total paid#200 of 251

Median peer was paid$303K

This provider vs. median0.1×

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
2023	1,169	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	39%	186	186	$10K
D0150	Comprehensive oral evaluation - new or established patient	19%	83	83	$5K
D1310		14%	150	150	$3K
D1208	Topical application of fluoride, excluding varnish	12%	146	146	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.9%	38	38	$1K
D0230	Intraoral - periapical each additional radiographic image	4.8%	294	124	$1K
D0272	Bitewings - two radiographic images	3.1%	64	64	$768.00
D0601		2.4%	77	77	$585.00
D9993		0%	131	131	$0.00

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 officialIM, ELLEN (OWNER/OPERATOR)