Dental
Hong Xie, DDS, INC.
Hong Xie, DDS, INC. was paid $1.22M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoHONG XIE, DDS, INC.
ANTIOCH, CA 94509
ANTIOCH, CA 94509
33aNPI1255768123assigned 10/08/2013
33bProvider typeDentist
28Total paid$1.22M
24GClaims41,720
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#429 of 2,314
Median peer was paid$185K
This provider vs. median6.6×
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 | 8,606 | $185K | |
| 2019 | 7,098 | $174K | |
| 2020 | 4,025 | $119K | |
| 2021 | 5,561 | $180K | |
| 2022 | 5,854 | $210K | |
| 2023 | 5,393 | $181K | |
| 2024incomplete | 5,183 | $170K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 2,412 | 2,374 | $200K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,462 | 3,414 | $188K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 2,871 | 2,818 | $179K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 3,523 | 3,478 | $134K |
| D1208 | Topical application of fluoride, excluding varnish | 6.7% | 5,965 | 5,888 | $82K |
| D0210 | Intraoral - complete series of radiographic images | 5.7% | 1,493 | 1,443 | $69K |
| D9430 | 4.9% | 1,877 | 1,830 | $59K | |
| D0274 | Bitewings - four radiographic images | 3.8% | 2,241 | 2,213 | $47K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 9,816 | 3,170 | $41K |
| D1310 | 2.9% | 808 | 802 | $36K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 474 | 253 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 2,096 | 2,000 | $25K |
16 more codes
| D9993 | 1.8% | 715 | $22K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.7% | 172 | $20K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 243 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.0% | 187 | $12K |
| D0330 | Panoramic radiographic image | <1% | 412 | $12K |
| D0603 | <1% | 713 | $10K | |
| D1351 | Sealant - per tooth | <1% | 345 | $8K |
| D0272 | Bitewings - two radiographic images | <1% | 656 | $7K |
| D0350 | <1% | 839 | $7K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 171 | $6K |
| D9110 | <1% | 86 | $5K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 47 | $3K |
| D4910 | <1% | 34 | $3K | |
| D2330 | <1% | 18 | $1K | |
| D1320 | <1% | 29 | $457.50 | |
| D0601 | <1% | 15 | $225.00 |
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.
From NPPES
Who's on the registration
Authorized officialXIE, HONG (CHIEF OFFICER)