Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
CA
›
SANTA MONICA
› XU, HONGBO
XU, HONGBO
NPI: 1104051010 · SANTA MONICA, CA 90404 ·
General Practice Dentistry
· NPI assigned 05/20/2009
$29K
Total Medicaid Paid
653
Total Claims
640
Beneficiaries
7
Codes Billed
2022-04
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
112
$4K
2023
287
$12K
2024
254
$14K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
140
139
$10K
D1110
110
110
$10K
D0150
72
72
$5K
D0230
226
215
$2K
D0274
69
68
$1K
D1120
12
12
$630.00
D1208
24
24
$352.00