NPI: 1649944703 · SAN PEDRO, CA 90731 · Dentist · NPI assigned 08/03/2021
Authorized official SAHAWNEH, SHOROUQ controls 20+ related entities in our dataset. Read more
| Authorized Official | SAHAWNEH, SHOROUQ (OWNER) |
| Parent Organization | SAHAWNEH DENTAL CORPORATION |
| NPI Enumeration Date | 08/03/2021 |
Other providers sharing the same authorized official: SAHAWNEH, SHOROUQ
| Provider | City | State | Total Paid |
|---|---|---|---|
| SAHAWNEH DENTAL CORPORATION | FONTANA | CA | $2.28M |
| SAHAWNEH DENTAL CORPORATION | HEMET | CA | $2.27M |
| SAHAWANEH DENTAL CORPORATON | SANTA ANA | CA | $2.17M |
| SAHAWNEH DENTAL CORPORATION | HESPERIA | CA | $1.87M |
| SAHAWNEH DENTAL CORPORATION | MORENO VALLEY | CA | $1.75M |
| SAHAWNEH DENTAL CORPORATION | MURRIETA | CA | $1.66M |
| SAHAWNEH DENTAL CORPORATION | EASTVALE | CA | $1.37M |
| SAHAWNEH DENTAL CORPORATION | REDLANDS | CA | $1.36M |
| SAHAWNEH DENTAL CORPORATION | LA QUINTA | CA | $1.14M |
| SAHAWNEH DENTAL CORPORATION | TEMECULA | CA | $1.05M |
| SAHAWNEH DENTAL CORPORATION | CORONA | CA | $1.05M |
| SAHAWNEH DENTAL CORPORATION | INDIO | CA | $955K |
| SAHAWNEH DENTAL CORPORATION | MORENO VALLEY | CA | $762K |
| SAHAWNEH DENTAL CORPORATION | TEMECULA | CA | $745K |
| SAHAWNEH DENTAL CORPORATION | MISSION VIEJO | CA | $643K |
| SAHAWNEH DENTAL CORPORATION | LANCASTER | CA | $635K |
| SAHAWNEH DENTAL CORPORATION | SOUTH GATE | CA | $592K |
| SAHAWNEH DENTAL CORPORATION | BELL GARDENS | CA | $579K |
| SAHAWNEH DENTAL CORPORATION | EL CAJON | CA | $565K |
| SAHAWNEH DENTAL CORPORATION | STANTON | CA | $535K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 519 | $12K |
| 2022 | 1,642 | $42K |
| 2023 | 805 | $19K |
| 2024 | 664 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 670 | 660 | $41K |
| D0210 | Intraoral - complete series of radiographic images | 262 | 257 | $12K |
| D0120 | Periodic oral evaluation - established patient | 224 | 219 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,925 | 529 | $8K |
| D1120 | Prophylaxis - child | 132 | 132 | $6K |
| D0274 | Bitewings - four radiographic images | 224 | 218 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 80 | 39 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 63 | 41 | $4K |
| D1110 | Prophylaxis - adult | 12 | 12 | $1K |
| D1206 | Topical application of fluoride varnish | 38 | 38 | $535.50 |