Dental
Shamsian Hariri Dental Corp
Shamsian Hariri Dental Corp was paid $167K by Medicaid between Feb 2023 and Dec 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.
33Billing provider infoSHAMSIAN HARIRI DENTAL CORP
PICO RIVERA, CA 90660
PICO RIVERA, CA 90660
33aNPI1023731924assigned 09/26/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$167K
24GClaims6,330
24DCodes billed14
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,354 of 2,668
Median peer was paid$173K
This provider vs. median1.0×
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 | 3,119 | $84K | |
| 2024incomplete | 3,211 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 605 | 604 | $40K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23% | 580 | 290 | $38K |
| D0350 | 12% | 2,088 | 573 | $21K | |
| D0210 | Intraoral - complete series of radiographic images | 10% | 354 | 354 | $17K |
| D4341 | 5.1% | 124 | 39 | $9K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.7% | 148 | 81 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.3% | 139 | 139 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 1,722 | 363 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 75 | 75 | $6K |
| D9430 | 2.9% | 149 | 132 | $5K | |
| D0274 | Bitewings - four radiographic images | 2.3% | 183 | 183 | $4K |
| D4910 | 1.7% | 39 | 39 | $3K |
2 more codes
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 officialSHAMSIAN, SHAHRIYAR (OWNER)