Dental
Assaf, Jafar
Assaf, Jafar was paid $15K by Medicaid between Jan 2018 and Oct 2018, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoASSAF, JAFAR
GLENDORA, CA 91740
GLENDORA, CA 91740
33aNPI1336153287assigned 07/28/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$15K
24GClaims3,337
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,087 of 2,668
Median peer was paid$173K
This provider vs. median0.1×
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 | 3,337 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 444 | 424 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 307 | 299 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 252 | 242 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 183 | 174 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 8.6% | 121 | 116 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.8% | 105 | 61 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.1% | 68 | 42 | $914.30 |
| D1110 | Prophylaxis - adult | 5.7% | 96 | 94 | $861.00 |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 456 | 440 | $552.00 |
| D0272 | Bitewings - two radiographic images | 2.6% | 319 | 311 | $386.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 873 | 412 | $385.80 |
| D0274 | Bitewings - four radiographic images | 1.3% | 101 | 96 | $198.00 |
1 more codes
| D9430 | 0% | 12 | $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.