Dental
Xie, Eileen
Xie, Eileen was paid $6K by Medicaid between Jan 2018 and Jul 2019, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 47% of everything it billed.
33Billing provider infoXIE, EILEEN
PERTH AMBOY, NJ 08861
PERTH AMBOY, NJ 08861
33aNPI1346507084assigned 04/19/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$6K
24GClaims699
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#571 of 790
Median peer was paid$43K
This provider vs. median0.1×
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 | 529 | $4K | |
| 2019 | 170 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 47% | 163 | 163 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 50 | 50 | $907.20 |
| D0220 | Intraoral - periapical first radiographic image | 12% | 215 | 215 | $771.42 |
| D1110 | Prophylaxis - adult | 12% | 47 | 47 | $736.20 |
| D0230 | Intraoral - periapical each additional radiographic image | 6.5% | 148 | 148 | $410.61 |
| D0274 | Bitewings - four radiographic images | 5.2% | 45 | 45 | $327.93 |
| D0602 | 1.9% | 14 | 14 | $120.00 | |
| D1206 | Topical application of fluoride varnish | 1.7% | 17 | 17 | $105.30 |
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.