Dental
Thaar Aldouri DDS INC
Thaar Aldouri DDS INC was paid $167K by Medicaid between Nov 2022 and Dec 2024, across 15 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 20% of everything it billed.
33Billing provider infoTHAAR ALDOURI DDS INC
POMONA, CA 91767
POMONA, CA 91767
33aNPI1255060794assigned 06/09/2022
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$167K
24GClaims6,558
24DCodes billed15
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in California
Rank by total paid#51 of 94
Median peer was paid$192K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2022 | 573 | $16K | |
| 2023 | 2,384 | $58K | |
| 2024incomplete | 3,601 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 473 | 464 | $34K |
| D0350 | 14% | 2,394 | 749 | $24K | |
| D1110 | Prophylaxis - adult | 13% | 239 | 233 | $22K |
| D0210 | Intraoral - complete series of radiographic images | 9.3% | 315 | 306 | $16K |
| D1206 | Topical application of fluoride varnish | 8.3% | 670 | 662 | $14K |
| D9430 | 7.3% | 375 | 355 | $12K | |
| D4910 | 5.4% | 106 | 106 | $9K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 111 | 111 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.0% | 146 | 144 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 100 | 51 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 1,099 | 298 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 323 | 315 | $4K |
3 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 officialALDOURI, THAAR (PRESIDENT)