Clinic
Pourshirazi & Sareh Dental Corp
Pourshirazi & Sareh Dental Corp was paid $858.00 by Medicaid between Jan 2020 and Jan 2020, across 1 billing code. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 100% of everything it billed.
33Billing provider infoPOURSHIRAZI & SAREH DENTAL CORP
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
33aNPI1053884924assigned 01/03/2019
33bProvider typeDental Clinic/Center
28Total paid$858.00
24GClaims13
24DCodes billed1
24AFirst – last monthJan 2020 – Jan 2020
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#1,110 of 1,135
Median peer was paid$200K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 13 | $858.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 100% | 13 | 13 | $858.00 |
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 (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Homayoun Pourshirazi DMD PC | Menifee, CA | $775K |
| H. Pourshirazi DMD, INC | Sun City, CA | $187K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.