Parisa Dental Group INC

Parisa Dental Group INC was paid $57K by Medicaid between Apr 2023 and Oct 2024, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 27% of everything it billed.

33Billing provider infoPARISA DENTAL GROUP INC
RANCHO CUCAMONGA, CA 91730

33aNPI1013615699assigned 02/22/2023

33bProvider typeGeneral Practice Dentistry

28Total paid$57K

24GClaims1,402

24DCodes billed9

24AFirst – last monthApr 2023 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#1,751 of 2,668

Median peer was paid$173K

This provider vs. median0.3×

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	602	$23K
2024incomplete	800	$34K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	27%	230	230	$15K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	23%	197	84	$13K
D0210	Intraoral - complete series of radiographic images	15%	180	180	$9K
D2391	Resin-based composite - one surface, posterior, primary or permanent	14%	144	56	$8K
D1110	Prophylaxis - adult	11%	70	70	$6K
D0350		6.8%	422	113	$4K
D1208	Topical application of fluoride, excluding varnish	2.7%	104	103	$2K
D0220	Intraoral - periapical first radiographic image	<1%	41	41	$489.00
D1206	Topical application of fluoride varnish	<1%	14	14	$257.50

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 officialGHEIDARPOUR, PARISA (DENTIST)