Dental
Hafa Adai Family Dental PC
Hafa Adai Family Dental PC was paid $2K by Medicaid between May 2022 and Oct 2023, across 3 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 49% of everything it billed.
33Billing provider infoHAFA ADAI FAMILY DENTAL PC
TAMUNING, GU 96913
TAMUNING, GU 96913
33aNPI1104987106assigned 12/13/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims80
24DCodes billed3
24AFirst – last monthMay 2022 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in Guam
Rank by total paid#6 of 7
Median peer was paid$1.30M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 40 | $912.00 | |
| 2023 | 40 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 49% | 27 | 27 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 27% | 41 | 40 | $570.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 12 | 12 | $516.00 |
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.
From NPPES
Who's on the registration
Authorized officialMARUTANI, DAVID (OWNER VP)