NPI: 1528831781 · FONTANA, CA 92335 · Dentist · NPI assigned 10/31/2023
Authorized official SOROUR, SELVANA controls 14+ related entities in our dataset. Read more
| Authorized Official | SOROUR, SELVANA (VICE PRESIDENT) |
| NPI Enumeration Date | 10/31/2023 |
Other providers sharing the same authorized official: SOROUR, SELVANA
| Provider | City | State | Total Paid |
|---|---|---|---|
| SOROUR DENTAL PRACTICE CORP | HAWTHORNE | CA | $5.04M |
| SOROUR D.M.D, PC | SANTA ANA | CA | $3.43M |
| SOROURS DENTAL PRACTICE CORPORATION | LONG BEACH | CA | $2.88M |
| SOROUR DENTAL OFFICE CORP | BELL | CA | $2.67M |
| SOROUR DENTAL CORPORATION | PANORAMA CITY | CA | $2.17M |
| SOROUR DENTAL GROUP CORP | SOUTH GATE | CA | $1.61M |
| SOROUR DMD DENTAL PRACTICE | COMPTON | CA | $1.51M |
| SOROUR KIDS DENTAL GROUP, INC | FRESNO | CA | $913K |
| SOROUR D.M.D, P.C | PICO RIVERA | CA | $536K |
| SOROUR DENTAL GROUP CORP | ANAHEIM | CA | $163K |
| SOROUR DMD DENTAL GROUP CORP | TORRANCE | CA | $162K |
| SOROUR DMD DENTAL GROUP CORP | DOWNEY | CA | $101K |
| SOROUR D.M.D P,C | NORTHRIDGE | CA | $69K |
| S SOROUR DENTAL OFFICE | ANAHEIM | CA | $24K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 1,931 | $80K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 365 | 365 | $24K |
| D1120 | Prophylaxis - child | 168 | 168 | $9K |
| D1110 | Prophylaxis - adult | 85 | 85 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 156 | 156 | $7K |
| D1351 | Sealant - per tooth | 208 | 52 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 82 | 35 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 57 | 31 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 216 | 198 | $4K |
| D9430 | 94 | 91 | $3K | |
| D0350 | 131 | 112 | $3K | |
| D1208 | Topical application of fluoride, excluding varnish | 170 | 170 | $3K |
| D0274 | Bitewings - four radiographic images | 97 | 97 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 33 | 13 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 52 | 51 | $624.00 |
| D1320 | 17 | 17 | $237.50 |