Dental
Jourabchi, David
Jourabchi, David was paid $5K by Medicaid between Nov 2020 and Oct 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoJOURABCHI, DAVID
PHOENIX, AZ 85022
PHOENIX, AZ 85022
33aNPI1972023372assigned 06/27/2017
33bProvider typePediatric Dentist
28Total paid$5K
24GClaims15,519
24DCodes billed16
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#155 of 223
Median peer was paid$24K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 256 | $0.00 | |
| 2021 | 5,146 | $2K | |
| 2022 | 7,117 | $2K | |
| 2023 | 2,199 | $0.00 | |
| 2024incomplete | 801 | $192.08 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 724 | 718 | $756.37 |
| D1206 | Topical application of fluoride varnish | 13% | 1,517 | 1,500 | $597.68 |
| D1110 | Prophylaxis - adult | 11% | 819 | 807 | $489.24 |
| D0220 | Intraoral - periapical first radiographic image | 9.2% | 1,099 | 1,081 | $416.94 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 1,081 | 1,068 | $416.36 |
| D0230 | Intraoral - periapical each additional radiographic image | 8.4% | 1,100 | 959 | $379.86 |
| D0350 | 7.6% | 3,275 | 935 | $344.10 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 321 | 318 | $278.61 |
| D0330 | Panoramic radiographic image | 5.5% | 55 | 54 | $247.60 |
| D1354 | 4.4% | 1,076 | 216 | $199.08 | |
| D0274 | Bitewings - four radiographic images | 3.8% | 442 | 435 | $171.40 |
| D0272 | Bitewings - two radiographic images | 3.2% | 99 | 99 | $143.88 |
4 more codes
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.