Dental
Mary Pham Ikeda DDS MS INC
Mary Pham Ikeda DDS MS INC was paid $47K by Medicaid between Nov 2023 and Dec 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.
33Billing provider infoMARY PHAM IKEDA DDS MS INC
LONG BEACH, CA 90807
LONG BEACH, CA 90807
33aNPI1881281913assigned 12/22/2020
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$47K
24GClaims2,261
24DCodes billed12
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in California
Rank by total paid#185 of 251
Median peer was paid$303K
This provider vs. median0.2×
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 | 222 | $6K | |
| 2024incomplete | 2,039 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 317 | 317 | $17K |
| D1310 | 17% | 177 | 177 | $8K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 100 | 100 | $7K |
| D1206 | Topical application of fluoride varnish | 9.4% | 145 | 145 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.7% | 1,012 | 199 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 174 | 169 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 31 | 31 | $1K |
| D1320 | 2.6% | 126 | 126 | $1K | |
| D0603 | 2.1% | 66 | 66 | $990.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 46 | 46 | $644.00 |
| D1354 | <1% | 30 | 12 | $360.00 | |
| D0350 | <1% | 37 | 15 | $345.60 |
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 DENTISTY)
| Provider | Location | Paid |
|---|---|---|
| Mary Regina Pham D.D.S., M.S. Dental Corporation | Placentia, CA | $15.02M |
| Mary Pham Ikeda Dental Corporation | Cerritos, CA | $1.08M |
| Mary Pham DDS Dental Corporation | Tustin, CA | $916K |
| Mary R Pham DDS Dental Corporation | Lake Forest, CA | $289K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.