Dental
Hsi, Elizabeth
Hsi, Elizabeth was paid $9K by Medicaid between Jun 2023 and Mar 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoHSI, ELIZABETH
KATY, TX 77494
KATY, TX 77494
33aNPI1376937219assigned 03/27/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$9K
24GClaims1,262
24DCodes billed11
24AFirst – last monthJun 2023 – Mar 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,935 of 2,774
Median peer was paid$43K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 792 | $6K | |
| 2024incomplete | 470 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 189 | 159 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 117 | 96 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 190 | 172 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 224 | 191 | $992.24 |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 17 | 13 | $923.52 |
| D0230 | Intraoral - periapical each additional radiographic image | 9.9% | 215 | 184 | $843.93 |
| D0274 | Bitewings - four radiographic images | 8.5% | 60 | 47 | $726.60 |
| D1110 | Prophylaxis - adult | 5.8% | 21 | 19 | $493.92 |
| D0272 | Bitewings - two radiographic images | <1% | 16 | 13 | $23.38 |
| D0602 | 0% | 81 | 77 | $0.00 | |
| D0603 | 0% | 132 | 107 | $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.