Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Managed care

S.Q.Hafar DDS INC

S.Q.Hafar DDS INC was paid $358K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.

33Billing provider infoS.Q.HAFAR DDS INC
ONTARIO, CA 91764
33aNPI1578980397assigned 03/19/2014
28Total paid$358K
24GClaims15,976
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Preferred Provider Organization providers in California

Rank by total paid#32 of 100
Median peer was paid$80K
This provider vs. median4.5×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20181,502$13K
2019347$5K
2020236$4K
20212,478$46K
20223,091$61K
20233,421$89K
2024incomplete4,901$140K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 22% 1,151 1,148 $79K
D0150 Comprehensive oral evaluation - new or established patient 16% 860 859 $56K
D0230 Intraoral - periapical each additional radiographic image 10% 9,091 1,781 $37K
D1120 Dental cleaning, childProphylaxis - child 10% 825 824 $36K
D2751 Crown - porcelain fused to predominantly base metal 9.2% 69 56 $33K
D1110 Prophylaxis - adult 7.1% 288 288 $25K
D0274 Bitewings - four radiographic images 6.3% 1,050 1,047 $22K
D9430 4.7% 530 501 $17K
D0210 Intraoral - complete series of radiographic images 3.9% 292 291 $14K
D4910 2.7% 126 126 $10K
D1208 Topical application of fluoride, excluding varnish 2.5% 642 637 $9K
D2954 1.2% 42 31 $4K
7 more codes
D0350 <1% 328 $3K
D1206 Topical application of fluoride varnish <1% 227 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 41 $3K
D0220 Intraoral - periapical first radiographic image <1% 201 $2K
D0272 Bitewings - two radiographic images <1% 150 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 27 $1K
D0330 Panoramic radiographic image <1% 36 $1K

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.

From NPPES

Who's on the registration

Authorized officialHAFAR, SUMMER (OWNER)