Dental
Xu, Hongbo
Xu, Hongbo was paid $29K by Medicaid between Apr 2022 and Oct 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.
33Billing provider infoXU, HONGBO
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
33aNPI1104051010assigned 05/20/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$29K
24GClaims653
24DCodes billed7
24AFirst – last monthApr 2022 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,941 of 2,668
Median peer was paid$173K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2022 | 112 | $4K | |
| 2023 | 287 | $12K | |
| 2024incomplete | 254 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 35% | 140 | 139 | $10K |
| D1110 | Prophylaxis - adult | 33% | 110 | 110 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 72 | 72 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.6% | 226 | 215 | $2K |
| D0274 | Bitewings - four radiographic images | 5.0% | 69 | 68 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 12 | 12 | $630.00 |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 24 | 24 | $352.00 |
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.