Dental
Henry Shafajoo D.D.S INC
Henry Shafajoo D.D.S INC was paid $19K by Medicaid between Jan 2018 and Oct 2018, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 50% of everything it billed.
33Billing provider infoHENRY SHAFAJOO D.D.S INC
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1699984039assigned 05/22/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$19K
24GClaims1,547
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,041 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 | 1,547 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 50% | 230 | 220 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 772 | 203 | $3K |
| D0350 | 14% | 354 | 114 | $3K | |
| D0274 | Bitewings - four radiographic images | 11% | 123 | 118 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 4.9% | 25 | 25 | $920.00 |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 43 | 41 | $324.00 |
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.
From NPPES
Who's on the registration
Authorized officialSHAFAJOO, HENRY (OWNER)