Dental
Hazboun, Tawfiq
Hazboun, Tawfiq was paid $42K by Medicaid between Mar 2018 and Dec 2020, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 55% of everything it billed.
33Billing provider infoHAZBOUN, TAWFIQ
ORCHARD PARK, NY 14127
ORCHARD PARK, NY 14127
33aNPI1356658942assigned 09/03/2010
33bProvider typeDentist
28Total paid$42K
24GClaims1,313
24DCodes billed11
24AFirst – last monthMar 2018 – Dec 2020
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#873 of 1,649
Median peer was paid$49K
This provider vs. median0.8×
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 | 362 | $13K | |
| 2019 | 663 | $24K | |
| 2020 | 288 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 55% | 445 | 445 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 362 | 362 | $10K |
| D0274 | Bitewings - four radiographic images | 12% | 191 | 191 | $5K |
| D0330 | Panoramic radiographic image | 4.2% | 53 | 53 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 34 | 34 | $966.00 |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 62 | 61 | $844.50 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13 | 13 | $182.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | 13 | $146.90 |
| D1999 | 0% | 95 | 91 | $0.00 | |
| D9996 | 0% | 32 | 32 | $0.00 | |
| D9995 | 0% | 13 | 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.