Dental
Amiri, Sousan
Amiri, Sousan was paid $454K by Medicaid between Jan 2018 and May 2019, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoAMIRI, SOUSAN
MATTHEWS, NC 28105
MATTHEWS, NC 28105
33aNPI1578734422assigned 03/19/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$454K
24GClaims11,834
24DCodes billed21
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#225 of 756
Median peer was paid$121K
This provider vs. median3.7×
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 | 8,399 | $332K | |
| 2019 | 3,435 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 1,152 | 505 | $107K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 16% | 647 | 298 | $73K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.9% | 615 | 326 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.2% | 867 | 827 | $33K |
| D0330 | Panoramic radiographic image | 4.8% | 449 | 428 | $22K |
| D1351 | Sealant - per tooth | 4.6% | 876 | 194 | $21K |
| D1110 | Prophylaxis - adult | 4.6% | 629 | 605 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.3% | 856 | 814 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 865 | 824 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 1,514 | 904 | $16K |
| D0274 | Bitewings - four radiographic images | 3.4% | 570 | 550 | $15K |
| D4355 | 3.2% | 231 | 228 | $15K |
9 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 1,017 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 831 | $12K |
| D2331 | 1.3% | 83 | $6K | |
| D0272 | Bitewings - two radiographic images | 1.0% | 271 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 115 | $4K |
| D2394 | <1% | 20 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 185 | $3K |
| D2332 | <1% | 21 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 20 | $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.