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Pedram Eisapooran, DDS

Dentist · San Jose

NPI 1104302652

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Eisapooran’s office at (408) 457-7100 to ask if they take your plan before you enroll.

Medicaid work

$48,230 in 2024

Medicaid paid $48,230 for 1,184 billed services this clinician did in 2024, up to 68 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Service71$21,725
Service130$6,615
Service83$5,240
Service73$3,358
Service125$2,639
Service27$1,814
Service375$1,454
Service21$1,386
Service104$998
Service63$930
Service13$767
Service43$516
Medicaid work by year
20241,1841468$48,230
2022404840$12,020
20214571342$10,144
20205241152$681
2019202740$6,844
2018346965$11,989
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Service51$4,517
Service71$3,728
Service104$1,700
Service14$924
Service14$672
Service31$433
Service107$46
Service12$0

2021

Largest Medicaid services in 2021
Service52$1,847
Service35$1,728
Service38$1,061
Service81$1,055
Service23$959
Service26$777
Service42$763
Service46$600
Service17$574
Service60$370
Service13$264
Service12$146

2020

Largest Medicaid services in 2020
Service54$164
Service38$141
Service42$125
Service57$73
Service80$66
Service30$60
Service63$53
Service20$0
Service64$0
Service12$0
Service64$0

2019

Largest Medicaid services in 2019
Service29$2,078
Service26$1,098
Service32$1,060
Service40$1,000
Service32$564
Service12$564
Service31$480

2018

Largest Medicaid services in 2018
Service39$2,688
Service61$1,976
Service65$1,596
Service32$1,340
Service26$1,217
Service15$1,078
Service52$898
Service44$636
Service12$560

Professional record

NPI
1104302652
Licence
CA 106013, DC DEN1001922, NC 11979, TX 36158
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 122300000X (122300000X)
Mailing address
55 E Julian St, San Jose, CA, 95112
NPI first listed
2018-07-18
NPI last updated
2025-04-01
NPI record certified
2025-04-01

This is when the NPI record was last certified, not a medical board exam.