Dental
Jalali-Jafari, Golnaz
Jalali-Jafari, Golnaz was paid $23K by Medicaid between Jan 2018 and Aug 2024, across 5 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 41% of everything it billed.
33Billing provider infoJALALI-JAFARI, GOLNAZ
MC LEAN, VA 22101
MC LEAN, VA 22101
33aNPI1558640870assigned 08/04/2011
33bProvider typePediatric Dentist
28Total paid$23K
24GClaims1,005
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#107 of 140
Median peer was paid$234K
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 | 237 | $5K | |
| 2019 | 164 | $3K | |
| 2020 | 211 | $6K | |
| 2021 | 90 | $2K | |
| 2022 | 174 | $5K | |
| 2023 | 73 | $2K | |
| 2024incomplete | 56 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 41% | 454 | 454 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 449 | 449 | $9K |
| D9920 | 12% | 39 | 38 | $3K | |
| D1120 | Dental cleaning, childProphylaxis - child | 6.2% | 51 | 51 | $1K |
| D1110 | Prophylaxis - adult | 3.1% | 12 | 12 | $718.43 |
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.