Dental
Su, Charles
Su, Charles was paid $117K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is D9430, — 29% of everything it billed.
33Billing provider infoSU, CHARLES
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
33aNPI1184723801assigned 09/21/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$117K
24GClaims8,727
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,487 of 2,668
Median peer was paid$173K
This provider vs. median0.7×
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 | 1,379 | $15K | |
| 2019 | 1,538 | $23K | |
| 2020 | 861 | $10K | |
| 2021 | 1,683 | $25K | |
| 2022 | 1,906 | $30K | |
| 2023 | 160 | $2K | |
| 2024incomplete | 1,200 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9430 | 29% | 1,080 | 1,027 | $34K | |
| D0220 | Intraoral - periapical first radiographic image | 19% | 1,860 | 1,629 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 5,125 | 1,296 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 244 | 96 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 216 | 208 | $13K |
| D1110 | Prophylaxis - adult | 5.3% | 72 | 69 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 104 | 99 | $5K |
| D5850 | 1.4% | 26 | 24 | $2K |
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.