Dental
Hariz, Sam
Hariz, Sam was paid $14K by Medicaid between Feb 2019 and Jul 2023, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 51% of everything it billed.
33Billing provider infoHARIZ, SAM
FREMONT, CA 94538
FREMONT, CA 94538
33aNPI1538235320assigned 11/26/2006
33bProvider typeDentist
28Total paid$14K
24GClaims274
24DCodes billed7
24AFirst – last monthFeb 2019 – Jul 2023
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,822 of 2,314
Median peer was paid$185K
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 | |
|---|---|---|---|
| 2019 | 54 | $4K | |
| 2020 | 38 | $2K | |
| 2021 | 15 | $675.00 | |
| 2022 | 155 | $7K | |
| 2023 | 12 | $815.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 51% | 120 | 120 | $7K |
| D1110 | Prophylaxis - adult | 26% | 42 | 42 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 26 | 26 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 15 | 15 | $787.50 |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 15 | 15 | $262.50 |
| D0274 | Bitewings - four radiographic images | 1.8% | 12 | 12 | $259.20 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 44 | 17 | $178.20 |
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.