Khafsafard, Ali

Khafsafard, Ali was paid $791.52 by Medicaid between Nov 2018 and Nov 2018, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 41% of everything it billed.

33Billing provider infoKHAFSAFARD, ALI
LONDON, OH 43140

33aNPI1245321827assigned 09/27/2006

33bProvider typeDentist

28Total paid$791.52

24GClaims47

24DCodes billed3

24AFirst – last monthNov 2018 – Nov 2018

Compared with peers

Next to other Dentist providers in Ohio

Rank by total paid#671 of 745

Median peer was paid$38K

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
2018	47	$791.52

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	41%	21	19	$324.52
D1120	Dental cleaning, childProphylaxis - child	34%	13	13	$272.00
D1208	Topical application of fluoride, excluding varnish	25%	13	13	$195.00

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.