Dental
Shahram Ameripour DDS INC.
Shahram Ameripour DDS INC. was paid $3.29M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is D0120, dental checkup, returning patient — 16% of everything it billed.
33Billing provider infoSHAHRAM AMERIPOUR DDS INC.
SAN JOSE, CA 95111
SAN JOSE, CA 95111
33aNPI1629260138assigned 08/17/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$3.29M
24GClaims143,649
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#168 of 2,668
Median peer was paid$173K
This provider vs. median19×
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 | 27,946 | $498K | |
| 2019 | 22,953 | $473K | |
| 2020 | 13,343 | $255K | |
| 2021 | 16,065 | $342K | |
| 2022 | 22,211 | $584K | |
| 2023 | 21,118 | $593K | |
| 2024incomplete | 20,013 | $550K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 9,485 | 9,444 | $519K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 8,777 | 8,736 | $335K |
| D2140 | 8.1% | 4,942 | 3,048 | $266K | |
| D0230 | Intraoral - periapical each additional radiographic image | 8.1% | 62,619 | 12,138 | $265K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.5% | 2,137 | 1,409 | $246K |
| D1351 | Sealant - per tooth | 7.1% | 8,759 | 2,792 | $235K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.6% | 3,275 | 2,384 | $219K |
| D1110 | Prophylaxis - adult | 5.8% | 2,259 | 2,243 | $191K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.6% | 2,953 | 2,936 | $184K |
| D7140 | Extraction, erupted tooth or exposed root | 5.4% | 3,168 | 1,692 | $179K |
| D0274 | Bitewings - four radiographic images | 5.3% | 8,447 | 8,412 | $175K |
| D2751 | Crown - porcelain fused to predominantly base metal | 3.0% | 210 | 187 | $99K |
12 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 8,826 | $93K |
| D0350 | 2.3% | 7,865 | $75K | |
| D9430 | 2.2% | 2,287 | $72K | |
| D9110 | 1.2% | 636 | $40K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 3,325 | $39K |
| D0272 | Bitewings - two radiographic images | <1% | 1,628 | $19K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 343 | $16K |
| D2954 | <1% | 140 | $15K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 23 | $5K |
| D0330 | Panoramic radiographic image | <1% | 128 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 44 | $2K |
| D1999 | <1% | 1,373 | $90.00 |
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 officialAMERIPOUR, SHAHRAM (OWNER)
Parent organizationSHAHRAM AMERIPOUR DDS