Dental
Bolouri, Alireza
Bolouri, Alireza was paid $196K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D1110, Prophylaxis - adult — 12% of everything it billed.
33Billing provider infoBOLOURI, ALIREZA
MILWAUKIE, OR 97222
MILWAUKIE, OR 97222
33aNPI1699833772assigned 12/04/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$196K
24GClaims19,484
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#41 of 311
Median peer was paid$6K
This provider vs. median30×
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 | 2,692 | $131K | |
| 2019 | 275 | $2K | |
| 2020 | 33 | $0.00 | |
| 2021 | 878 | $2K | |
| 2022 | 8,013 | $33K | |
| 2023 | 5,007 | $21K | |
| 2024incomplete | 2,586 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 12% | 1,881 | 1,870 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 195 | 152 | $22K |
| D0140 | Limited oral evaluation - problem focused | 9.3% | 995 | 973 | $18K |
| D4341 | 9.0% | 427 | 268 | $18K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.1% | 526 | 522 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 7.5% | 2,298 | 2,247 | $15K |
| D0274 | Bitewings - four radiographic images | 6.6% | 803 | 791 | $13K |
| D1206 | Topical application of fluoride varnish | 6.1% | 994 | 985 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 98 | 66 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.9% | 1,782 | 1,283 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 4.2% | 479 | 263 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.3% | 471 | 468 | $7K |
15 more codes
| D1120 | Dental cleaning, child | 3.1% | 595 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.1% | 15 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 1.9% | 1,420 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.6% | 110 | $3K |
| D1351 | Sealant - per tooth | <1% | 158 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | $2K |
| D4355 | <1% | 102 | $2K | |
| D4910 | <1% | 187 | $1K | |
| D9310 | <1% | 41 | $540.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 73 | $360.00 |
| D0191 | <1% | 107 | $360.00 | |
| D0240 | <1% | 65 | $256.00 | |
| D1330 | <1% | 3,201 | $80.15 | |
| D1310 | 0% | 858 | $0.00 | |
| D9986 | 0% | 1,590 | $0.00 |
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.