SOROUR DMD DENTAL GROUP CORP

NPI: 1225519689 · DOWNEY, CA 90241 · Dentist · NPI assigned 08/23/2018

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$101K

Total Medicaid Paid

4,869

Total Claims

3,096

Beneficiaries

Codes Billed

2019-01

First Month

2022-10

Last Month

Provider Details

Authorized Official	SOROUR, SELVANA (VICE-PRESIDENT)
NPI Enumeration Date	08/23/2018

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
SOROURS DENTAL OFFICE CORPORATION	FONTANA	CA	$80K
SOROUR D.M.D P,C	NORTHRIDGE	CA	$69K
S SOROUR DENTAL OFFICE	ANAHEIM	CA	$24K

Code	Description	Claims	Beneficiaries	Total Paid
D0150	Comprehensive oral evaluation - new or established patient	661	658	$39K
D1120	Prophylaxis - child	550	548	$17K
D1208	Topical application of fluoride, excluding varnish	677	675	$11K
D0230	Intraoral - periapical each additional radiographic image	2,360	595	$11K
D0210	Intraoral - complete series of radiographic images	247	246	$10K
D0120	Periodic oral evaluation - established patient	174	174	$10K
D0274	Bitewings - four radiographic images	71	71	$1K
D1310		26	26	$920.00
D9993		12	12	$585.00
D0603		37	37	$390.00
D0330	Panoramic radiographic image	13	13	$390.00
D1320		13	13	$160.00
D0220	Intraoral - periapical first radiographic image	16	16	$119.00
D1206	Topical application of fluoride varnish	12	12	$108.00