Dental
Houri Fatourachi, DDS INC
Houri Fatourachi, DDS INC was paid $957K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.
33Billing provider infoHOURI FATOURACHI, DDS INC
VISTA, CA 92081
VISTA, CA 92081
33aNPI1184069122assigned 05/03/2013
33bProvider typePediatric Dentist
28Total paid$957K
24GClaims36,159
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#137 of 332
Median peer was paid$450K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2018 | 4,155 | $77K | |
| 2019 | 4,559 | $106K | |
| 2020 | 4,520 | $113K | |
| 2021 | 5,786 | $143K | |
| 2022 | 5,824 | $185K | |
| 2023 | 5,643 | $172K | |
| 2024incomplete | 5,672 | $161K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 4,380 | 4,344 | $247K |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 5,571 | 5,532 | $223K |
| D1310 | 9.6% | 2,013 | 1,993 | $91K | |
| D1208 | Topical application of fluoride, excluding varnish | 8.7% | 5,497 | 5,456 | $83K |
| D9993 | 6.5% | 963 | 961 | $62K | |
| D1351 | Sealant - per tooth | 6.2% | 1,895 | 471 | $60K |
| D0272 | Bitewings - two radiographic images | 3.8% | 3,137 | 3,113 | $37K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.4% | 834 | 733 | $32K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 7,797 | 3,532 | $31K |
| D0603 | 2.7% | 1,719 | 1,698 | $25K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 250 | 147 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 245 | 245 | $15K |
5 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 officialFATOURACHI, HOURI (PRESIDENT)