Clinic
John Khalaf DDS, INC.
John Khalaf DDS, INC. was paid $1.80M by Medicaid between Jan 2018 and Oct 2024, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 26% of everything it billed.
33Billing provider infoJOHN KHALAF DDS, INC.
COVINA, CA 91723
COVINA, CA 91723
33aNPI1942466131assigned 08/06/2008
33bProvider typeDental Clinic/Center
28Total paid$1.80M
24GClaims27,813
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#149 of 1,135
Median peer was paid$200K
This provider vs. median9.0×
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 | 6,222 | $451K | |
| 2019 | 4,903 | $407K | |
| 2020 | 3,802 | $272K | |
| 2021 | 3,715 | $246K | |
| 2022 | 3,516 | $187K | |
| 2023 | 4,169 | $187K | |
| 2024incomplete | 1,486 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 26% | 3,945 | 893 | $460K |
| D9220 | 13% | 1,180 | 1,136 | $241K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 8.7% | 1,619 | 453 | $157K |
| D9610 | 8.0% | 1,871 | 1,749 | $144K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 7.8% | 948 | 583 | $141K |
| D7140 | Extraction, erupted tooth or exposed root | 6.4% | 2,034 | 641 | $115K |
| D9221 | 6.0% | 1,176 | 763 | $108K | |
| D9420 | 5.9% | 1,629 | 1,482 | $107K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 1,294 | 1,286 | $79K |
| D9222 | 4.1% | 611 | 610 | $75K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.9% | 789 | 295 | $52K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 4,875 | 1,012 | $39K |
11 more codes
| D1120 | Dental cleaning, child | <1% | 1,578 | $17K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 382 | $17K |
| D2140 | <1% | 306 | $16K | |
| D0272 | Bitewings - two radiographic images | <1% | 937 | $11K |
| D1206 | Topical application of fluoride varnish | <1% | 1,504 | $8K |
| D2932 | <1% | 40 | $4K | |
| D1351 | Sealant - per tooth | <1% | 222 | $4K |
| D0350 | <1% | 602 | $2K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 28 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 20 | $1K |
| D9920 | <1% | 223 | $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 officialKHALAF, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Covina Surgery Center, LLC | Covina, CA | $532K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.