Dental
Xu, Qilin
Xu, Qilin was paid $10K by Medicaid between Oct 2020 and Apr 2021, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoXU, QILIN
COLUMBIA, PA 17512
COLUMBIA, PA 17512
33aNPI1316564495assigned 07/06/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$10K
24GClaims708
24DCodes billed10
24AFirst – last monthOct 2020 – Apr 2021
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#586 of 847
Median peer was paid$37K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 219 | $3K | |
| 2021 | 489 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 78 | 78 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 112 | 112 | $2K |
| D0274 | Bitewings - four radiographic images | 19% | 77 | 76 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 159 | 155 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 46 | 46 | $852.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 7.2% | 98 | 90 | $726.97 |
| D0330 | Panoramic radiographic image | 5.0% | 15 | 15 | $503.20 |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 12 | 12 | $320.66 |
| D1330 | <1% | 40 | 40 | $50.00 | |
| D1999 | 0% | 71 | 65 | $0.00 |
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.