Safoura Massoumi Professional Dental Corp.

Safoura Massoumi Professional Dental Corp. was paid $9.33M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.

33Billing provider infoSAFOURA MASSOUMI PROFESSIONAL DENTAL CORP.
CHULA VISTA, CA 91910

33aNPI1356471460assigned 03/07/2007

33bProvider typePediatric Dentist

28Total paid$9.33M

24GClaims407,140

24DCodes billed39

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in California

Rank by total paid#26 of 332

Median peer was paid$450K

This provider vs. median21×

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	76,181	$1.48M
2019	68,376	$1.52M
2020	41,157	$996K
2021	55,703	$1.39M
2022	57,440	$1.49M
2023	58,025	$1.37M
2024incomplete	50,258	$1.07M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	28,967	28,852	$1.60M
D1120	Dental cleaning, childProphylaxis - child	14%	33,238	33,083	$1.29M
D2930	Prefabricated stainless steel crown - primary tooth	11%	8,455	3,071	$999K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.6%	12,151	6,805	$804K
D0230	Intraoral - periapical each additional radiographic image	7.8%	180,193	34,748	$725K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	5.9%	5,611	2,195	$554K
D1208	Topical application of fluoride, excluding varnish	4.7%	33,129	32,979	$441K
D7140	Extraction, erupted tooth or exposed root	4.1%	6,792	3,479	$386K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3.3%	7,912	7,555	$307K
D1351	Sealant - per tooth	3.1%	10,581	3,667	$292K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	2.8%	3,267	2,301	$258K
D0350		2.7%	19,879	11,467	$253K

27 more codes

D0272	Bitewings - two radiographic images	2.7%	21,564	$252K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.3%	4,039	$217K
D0150	Comprehensive oral evaluation - new or established patient	1.7%	2,446	$159K
D9430		1.4%	4,015	$126K
D9248		1.3%	3,393	$118K
D0220	Intraoral - periapical first radiographic image	1.2%	9,476	$111K
D0274	Bitewings - four radiographic images	1.2%	5,118	$109K
D0145	Oral evaluation for a patient under three years of age	<1%	1,371	$83K
D2330		<1%	748	$58K
D1510		<1%	336	$42K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	<1%	88	$40K
D1310		<1%	539	$23K
D1320		<1%	2,531	$22K
D2335		<1%	127	$15K
D0210	Intraoral - complete series of radiographic images	<1%	171	$8K
D9222		<1%	61	$7K
D9610		<1%	151	$6K
D9221		<1%	12	$5K
D9920		<1%	128	$4K
D0603		<1%	244	$3K
D9220		<1%	12	$3K
D0140	Limited oral evaluation - problem focused	<1%	57	$2K
D0601		<1%	71	$1K
D0999	Unspecified diagnostic procedure, by report	<1%	13	$598.00
D9995		<1%	220	$163.92
D9996		0%	21	$0.00
D9993		0%	13	$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 officialVELAZQUEZ, DAVID (OFFICE MANAGER)