Dental
The Safoura Massouri Professional Dental Corp
The Safoura Massouri Professional Dental Corp was paid $25.92M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is D0120, dental checkup, returning patient — 13% of everything it billed.
33Billing provider infoTHE SAFOURA MASSOURI PROFESSIONAL DENTAL CORP
CHULA VISTA, CA 91910
CHULA VISTA, CA 91910
33aNPI1306988118assigned 02/12/2007
33bProvider typePediatric Dentist
28Total paid$25.92M
24GClaims946,567
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#7 of 332
Median peer was paid$450K
This provider vs. median58×
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 | 149,567 | $3.46M | |
| 2019 | 139,118 | $3.41M | |
| 2020 | 79,375 | $2.20M | |
| 2021 | 134,629 | $3.64M | |
| 2022 | 151,685 | $4.80M | |
| 2023 | 148,341 | $4.44M | |
| 2024incomplete | 143,852 | $3.98M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 58,496 | 58,303 | $3.35M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 27,480 | 9,813 | $3.23M |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 72,644 | 72,385 | $2.88M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 8.5% | 22,364 | 7,908 | $2.20M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.9% | 30,918 | 18,316 | $2.04M |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 382,976 | 78,598 | $1.57M |
| D7140 | Extraction, erupted tooth or exposed root | 5.5% | 24,980 | 12,372 | $1.42M |
| D1208 | Topical application of fluoride, excluding varnish | 3.9% | 67,563 | 67,308 | $1.00M |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 14,043 | 14,009 | $911K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 20,945 | 20,273 | $823K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 3.1% | 3,354 | 1,286 | $816K |
| D1351 | Sealant - per tooth | 2.8% | 26,139 | 9,678 | $725K |
42 more codes
| D0272 | Bitewings - two radiographic images | 2.5% | 56,278 | $656K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.1% | 6,926 | $544K |
| D9430 | 1.8% | 15,127 | $477K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 8,415 | $450K |
| D0350 | 1.4% | 30,735 | $351K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 4,761 | $293K |
| D9248 | 1.0% | 7,536 | $262K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 21,130 | $248K |
| D2330 | <1% | 2,272 | $174K | |
| D9222 | <1% | 1,287 | $158K | |
| D1310 | <1% | 3,124 | $138K | |
| D1510 | <1% | 800 | $129K | |
| D9610 | <1% | 3,704 | $123K | |
| D0274 | Bitewings - four radiographic images | <1% | 5,580 | $116K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,394 | $110K |
| D9221 | <1% | 178 | $98K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,738 | $95K |
| D9920 | <1% | 1,328 | $85K | |
| D1206 | Topical application of fluoride varnish | <1% | 6,297 | $75K |
| D1320 | <1% | 7,338 | $71K | |
| D7230 | <1% | 282 | $53K | |
| D9420 | <1% | 578 | $45K | |
| D9220 | <1% | 163 | $39K | |
| D1110 | Prophylaxis - adult | <1% | 329 | $29K |
| D0330 | Panoramic radiographic image | <1% | 912 | $26K |
| D0603 | <1% | 1,711 | $25K | |
| D2335 | <1% | 159 | $18K | |
| D2932 | <1% | 142 | $15K | |
| D0601 | <1% | 869 | $12K | |
| D7220 | <1% | 43 | $6K | |
| D0340 | <1% | 96 | $5K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 19 | $4K |
| D2332 | <1% | 47 | $4K | |
| D0270 | <1% | 784 | $4K | |
| D2933 | <1% | 36 | $4K | |
| D8670 | Periodic orthodontic treatment visit | <1% | 12 | $4K |
| D0602 | <1% | 64 | $945.00 | |
| D9995 | <1% | 180 | $212.40 | |
| D1999 | <1% | 239 | $138.00 | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 19 | $47.04 |
| D9996 | 0% | 14 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 19 | $0.00 |
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 officialMASSOUMI, SAFOURA (OWNER)