Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOROUR D.M.D P,C

NPI: 1013362854 · NORTHRIDGE, CA 91325 · Dentist · NPI assigned 04/29/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SOROUR, SELVANA controls 14+ related entities in our dataset. Read more

$69K
Total Medicaid Paid
3,098
Total Claims
2,925
Beneficiaries
14
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialSOROUR, SELVANA (PRESIDENT)
NPI Enumeration Date04/29/2016

Related Entities

Other providers sharing the same authorized official: SOROUR, SELVANA

ProviderCityStateTotal Paid
SOROUR DENTAL PRACTICE CORP HAWTHORNE CA $5.04M
SOROUR D.M.D, PC SANTA ANA CA $3.43M
SOROURS DENTAL PRACTICE CORPORATION LONG BEACH CA $2.88M
SOROUR DENTAL OFFICE CORP BELL CA $2.67M
SOROUR DENTAL CORPORATION PANORAMA CITY CA $2.17M
SOROUR DENTAL GROUP CORP SOUTH GATE CA $1.61M
SOROUR DMD DENTAL PRACTICE COMPTON CA $1.51M
SOROUR KIDS DENTAL GROUP, INC FRESNO CA $913K
SOROUR D.M.D, P.C PICO RIVERA CA $536K
SOROUR DENTAL GROUP CORP ANAHEIM CA $163K
SOROUR DMD DENTAL GROUP CORP TORRANCE CA $162K
SOROUR DMD DENTAL GROUP CORP DOWNEY CA $101K
SOROURS DENTAL OFFICE CORPORATION FONTANA CA $80K
S SOROUR DENTAL OFFICE ANAHEIM CA $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,834 $38K
2019 1,117 $28K
2020 147 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 639 639 $19K
D0120 Periodic oral evaluation - established patient 356 356 $13K
D0230 Intraoral - periapical each additional radiographic image 626 619 $12K
D1208 Topical application of fluoride, excluding varnish 800 800 $8K
D0150 Comprehensive oral evaluation - new or established patient 155 155 $7K
D1351 Sealant - per tooth 204 47 $4K
D0274 Bitewings - four radiographic images 93 93 $2K
D0210 Intraoral - complete series of radiographic images 31 31 $1K
D0220 Intraoral - periapical first radiographic image 107 103 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 26 26 $980.00
D2140 15 12 $819.00
D9430 14 14 $336.00
D0350 18 16 $249.60
D0272 Bitewings - two radiographic images 14 14 $140.00