SHAHRAM NOURI DENTAL CORP.
NPI: 1356587703
· NORTHRIDGE, CA 91324
· Dentist
· NPI assigned 01/06/2009
Provider Details
| Authorized Official | NOURI, SHAHRAM (PRESIDENT) |
| NPI Enumeration Date | 01/06/2009 |
Related Entities
Other providers sharing the same authorized official: NOURI, SHAHRAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
159 |
$6K |
| 2019 |
87 |
$5K |
| 2022 |
188 |
$13K |
| 2023 |
206 |
$19K |
| 2024 |
287 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2751 |
Crown - porcelain fused to predominantly base metal |
43 |
27 |
$20K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
124 |
57 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
131 |
129 |
$6K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
67 |
42 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
97 |
97 |
$5K |
| D4910 |
|
51 |
51 |
$4K |
| D2952 |
|
37 |
29 |
$4K |
| D2394 |
|
43 |
15 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
50 |
50 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
270 |
62 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$201.00 |