Dental
Pourshirazi H Corporation
Pourshirazi H Corporation was paid $3.18M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 12% of everything it billed.
33Billing provider infoPOURSHIRAZI H CORPORATION
LAKE ELSINORE, CA 92532
LAKE ELSINORE, CA 92532
33aNPI1255606547assigned 03/20/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$3.18M
24GClaims112,453
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#174 of 2,668
Median peer was paid$173K
This provider vs. median18×
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 | 12,556 | $269K | |
| 2019 | 9,530 | $214K | |
| 2020 | 8,169 | $179K | |
| 2021 | 21,941 | $515K | |
| 2022 | 23,113 | $658K | |
| 2023 | 18,183 | $582K | |
| 2024incomplete | 18,961 | $763K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 12% | 796 | 622 | $379K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 4,752 | 4,731 | $278K |
| D0350 | 8.6% | 28,891 | 7,940 | $274K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.6% | 4,289 | 4,259 | $273K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.0% | 3,810 | 1,998 | $254K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.8% | 4,039 | 1,978 | $217K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.9% | 1,585 | 844 | $187K |
| D0210 | Intraoral - complete series of radiographic images | 4.8% | 3,218 | 3,187 | $152K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 34,965 | 7,235 | $141K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.4% | 3,688 | 3,667 | $140K |
| D4341 | 4.0% | 1,808 | 545 | $126K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 4.0% | 272 | 239 | $126K |
30 more codes
| D9430 | 2.8% | 2,896 | $89K | |
| D0274 | Bitewings - four radiographic images | 2.3% | 3,563 | $73K |
| D4910 | 2.1% | 870 | $66K | |
| D1351 | Sealant - per tooth | 1.4% | 1,647 | $45K |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 3,409 | $38K |
| D2952 | 1.1% | 351 | $37K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 611 | $34K |
| D8670 | Periodic orthodontic treatment visit | <1% | 117 | $31K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 275 | $31K |
| D0330 | Panoramic radiographic image | <1% | 1,026 | $22K |
| D1310 | <1% | 418 | $19K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 202 | $16K |
| D1110 | Prophylaxis - adult | <1% | 186 | $16K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 159 | $16K |
| D0272 | Bitewings - two radiographic images | <1% | 1,351 | $16K |
| D2330 | <1% | 176 | $13K | |
| D4342 | <1% | 313 | $13K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,067 | $13K |
| D1206 | Topical application of fluoride varnish | <1% | 641 | $11K |
| D9993 | <1% | 128 | $8K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 191 | $5K |
| D7230 | <1% | 27 | $5K | |
| D3320 | <1% | 13 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 127 | $3K |
| D2335 | <1% | 22 | $3K | |
| D0270 | <1% | 439 | $2K | |
| D0601 | <1% | 61 | $915.00 | |
| D0340 | <1% | 13 | $650.00 | |
| D0603 | <1% | 28 | $420.00 | |
| D0602 | <1% | 13 | $195.00 |
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 officialGREENO, KEELY (OFFICE COORDINATOR)