Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LAWNDALE › SOROUR DMD PC

SOROUR DMD PC

NPI: 1659681773 · LAWNDALE, CA 90260 · General Practice Dentistry · NPI assigned 10/08/2010

$29K
Total Medicaid Paid
1,075
Total Claims
827
Beneficiaries
8
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialSOROUR, THARWAT (PRESIDENT)
NPI Enumeration Date10/08/2010

Related Entities

Other providers sharing the same authorized official: SOROUR, THARWAT

ProviderCityStateTotal Paid
SOROUR D.M.D CORPORATION ANAHEIM CA $7.41M
SOROUR D.M.D CORPORATION BALDWIN PARK CA $2.33M
SOROUR D.M.D, P.C HAWTHORNE CA $879K
SOROUR AND HOANG DENTAL CORPORATION BELL CA $202K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,059 $28K
2019 16 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 312 312 $15K
D0210 Intraoral - complete series of radiographic images 140 140 $6K
D1120 Prophylaxis - child 99 99 $3K
D1351 Sealant - per tooth 92 20 $2K
D0230 Intraoral - periapical each additional radiographic image 274 98 $2K
D1208 Topical application of fluoride, excluding varnish 133 133 $1K
D1110 Prophylaxis - adult 12 12 $400.00
D0350 13 13 $144.00