Dental
Iraj Nouri DDS INC.
Iraj Nouri DDS INC. was paid $158K by Medicaid between Jan 2018 and Feb 2023, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.
33Billing provider infoIRAJ NOURI DDS INC.
WILMINGTON, CA 90744
WILMINGTON, CA 90744
33aNPI1346447877assigned 06/28/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$158K
24GClaims10,455
24DCodes billed11
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,378 of 2,668
Median peer was paid$173K
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 | |
|---|---|---|---|
| 2018 | 3,402 | $42K | |
| 2019 | 3,164 | $45K | |
| 2020 | 775 | $11K | |
| 2021 | 1,497 | $20K | |
| 2022 | 1,446 | $32K | |
| 2023 | 171 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 40% | 1,365 | 1,352 | $63K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 993 | 983 | $33K |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 5,391 | 1,139 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 8.3% | 1,232 | 1,224 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 114 | 113 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 487 | 478 | $6K |
| D0272 | Bitewings - two radiographic images | 3.4% | 468 | 461 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 2.3% | 76 | 76 | $4K |
| D1351 | Sealant - per tooth | 2.3% | 179 | 53 | $4K |
| D1110 | Prophylaxis - adult | 1.1% | 27 | 26 | $2K |
| D0350 | <1% | 123 | 66 | $1K |
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 officialNOURI, IRAJ (OWNER DENTIST)