Dental
Hafidh, Ifraj
Hafidh, Ifraj was paid $122K by Medicaid between Jan 2018 and Jun 2020, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoHAFIDH, IFRAJ
DELMAR, NY 12054
DELMAR, NY 12054
33aNPI1740542927assigned 06/13/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$122K
24GClaims4,409
24DCodes billed19
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#806 of 2,184
Median peer was paid$54K
This provider vs. median2.3×
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 | 4,245 | $117K | |
| 2019 | 30 | $585.90 | |
| 2020 | 134 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 766 | 766 | $33K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 560 | 560 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.2% | 172 | 125 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 592 | 592 | $8K |
| D1351 | Sealant - per tooth | 6.4% | 177 | 62 | $8K |
| D0272 | Bitewings - two radiographic images | 6.3% | 455 | 455 | $8K |
| D1206 | Topical application of fluoride varnish | 5.7% | 212 | 212 | $7K |
| D0240 | 5.5% | 408 | 400 | $7K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 143 | 104 | $6K |
| D1354 | 3.9% | 111 | 31 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | 2.8% | 121 | 121 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 371 | 370 | $3K |
7 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 87 | $3K |
| D0330 | Panoramic radiographic image | 1.2% | 43 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 124 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 14 | $798.00 |
| D1110 | Prophylaxis - adult | <1% | 13 | $716.30 |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | $196.65 |
| D1999 | 0% | 25 | $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.