S SOROUR DENTAL OFFICE

NPI: 1013509710 · ANAHEIM, CA 92805 · General Practice Dentistry · NPI assigned 02/04/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$24K

Total Medicaid Paid

685

Total Claims

403

Beneficiaries

Codes Billed

2021-06

First Month

2024-06

Last Month

Provider Details

Authorized Official	SOROUR, SELVANA (VICE PRESIDENT)
NPI Enumeration Date	02/04/2021

Other providers sharing the same authorized official: SOROUR, SELVANA

Provider	City	State	Total 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
SOROUR D.M.D P,C	NORTHRIDGE	CA	$69K

Code	Description	Claims	Beneficiaries	Total Paid
D0150	Comprehensive oral evaluation - new or established patient	186	186	$12K
D1110	Prophylaxis - adult	37	37	$3K
D0120	Periodic oral evaluation - established patient	30	30	$3K
D0210	Intraoral - complete series of radiographic images	38	38	$2K
D0230	Intraoral - periapical each additional radiographic image	346	74	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	22	12	$1K
D1120	Prophylaxis - child	13	13	$682.50
D0274	Bitewings - four radiographic images	13	13	$280.80