Hsi, Jonathan

Hsi, Jonathan was paid $27K by Medicaid between Jan 2018 and Dec 2018, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 25% of everything it billed.

33Billing provider infoHSI, JONATHAN
LOS LUNAS, NM 87031

33aNPI1003331984assigned 08/11/2017

33bProvider typeDentist

28Total paid$27K

24GClaims1,270

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Dentist providers in New Mexico

Rank by total paid#105 of 179

Median peer was paid$47K

This provider vs. median0.6×

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	1,270	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	25%	208	208	$7K
D1110	Prophylaxis - adult	22%	134	134	$6K
D0274	Bitewings - four radiographic images	15%	147	147	$4K
D0220	Intraoral - periapical first radiographic image	11%	273	272	$3K
D1208	Topical application of fluoride, excluding varnish	9.4%	146	146	$3K
D0230	Intraoral - periapical each additional radiographic image	8.6%	255	222	$2K
D1120	Dental cleaning, childProphylaxis - child	8.0%	93	93	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.1%	14	14	$305.62

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.