Medicaid Provider Spending

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

HAN AND XU DENTAL CORPORATION

NPI: 1356717565 · ROSEMEAD, CA 91770 · General Practice Dentistry · NPI assigned 08/12/2015

$63K
Total Medicaid Paid
1,722
Total Claims
1,577
Beneficiaries
9
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialXU, SHAUN (CEO)
NPI Enumeration Date08/12/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 187 $5K
2019 261 $11K
2020 43 $2K
2021 114 $3K
2022 319 $10K
2023 255 $10K
2024 543 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 304 304 $19K
D0210 Intraoral - complete series of radiographic images 294 294 $14K
D1110 Prophylaxis - adult 145 145 $12K
D1206 Topical application of fluoride varnish 617 610 $10K
D0120 Periodic oral evaluation - established patient 88 88 $6K
D7140 Extraction, erupted tooth or exposed root 19 12 $1K
D0230 Intraoral - periapical each additional radiographic image 230 99 $906.30
D1120 Prophylaxis - child 13 13 $390.00
D0274 Bitewings - four radiographic images 12 12 $259.20