Dental
H. Pourshirazi DMD, INC
H. Pourshirazi DMD, INC was paid $187K by Medicaid between Feb 2019 and Nov 2024, across 17 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 35% of everything it billed.
33Billing provider infoH. POURSHIRAZI DMD, INC
SUN CITY, CA 92586
SUN CITY, CA 92586
33aNPI1003957457assigned 02/09/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$187K
24GClaims4,942
24DCodes billed17
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,306 of 2,668
Median peer was paid$173K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2019 | 63 | $4K | |
| 2020 | 116 | $6K | |
| 2021 | 894 | $34K | |
| 2022 | 1,325 | $33K | |
| 2023 | 1,704 | $50K | |
| 2024incomplete | 840 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 35% | 1,002 | 996 | $65K |
| D0210 | Intraoral - complete series of radiographic images | 18% | 741 | 737 | $34K |
| D2751 | Crown - porcelain fused to predominantly base metal | 14% | 55 | 41 | $26K |
| D4910 | 5.5% | 136 | 136 | $10K | |
| D4341 | 4.3% | 115 | 32 | $8K | |
| D9430 | 4.0% | 272 | 255 | $8K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.7% | 96 | 96 | $7K |
| D2740 | Crown - porcelain/ceramic | 3.4% | 14 | 12 | $6K |
| D0350 | 3.4% | 841 | 247 | $6K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 1,349 | 385 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 64 | 40 | $4K |
| D1110 | Prophylaxis - adult | 1.1% | 25 | 25 | $2K |
5 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 136 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 50 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 17 | $928.20 |
| D1120 | Dental cleaning, child | <1% | 12 | $345.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 17 | $229.00 |
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 officialPOURSHIRAZI, HOMAYOUN (DOCTOR)
| Provider | Location | Paid |
|---|---|---|
| Homayoun Pourshirazi DMD PC | Menifee, CA | $775K |
| Pourshirazi & Sareh Dental Corp | San Bernardino, CA | $858.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.