Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHRISTINA HSU, DDS, PLLC

NPI: 1194201087 · BRIGHTON, MA 02135 · Dental Clinic/Center · NPI assigned 07/14/2018

$52K
Total Medicaid Paid
1,615
Total Claims
1,513
Beneficiaries
7
Codes Billed
2018-09
First Month
2024-05
Last Month

Provider Details

Authorized OfficialHSU, CHRISTINA (OWNER)
NPI Enumeration Date07/14/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 294 $10K
2019 652 $22K
2020 293 $7K
2021 130 $4K
2022 122 $5K
2023 90 $3K
2024 34 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 718 671 $33K
D0120 Periodic oral evaluation - established patient 513 480 $10K
D0150 Comprehensive oral evaluation - new or established patient 161 155 $6K
D0220 Intraoral - periapical first radiographic image 141 129 $2K
D1208 Topical application of fluoride, excluding varnish 53 53 $2K
D0274 Bitewings - four radiographic images 13 12 $396.00
D0230 Intraoral - periapical each additional radiographic image 16 13 $216.00