Dental
Jie Su, DMD, P.A.
Jie Su, DMD, P.A. was paid $279K by Medicaid between Dec 2020 and Dec 2024, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoJIE SU, DMD, P.A.
PLANO, TX 75024
PLANO, TX 75024
33aNPI1437429529assigned 01/05/2012
33bProvider typePediatric Dentist
28Total paid$279K
24GClaims17,830
24DCodes billed18
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#333 of 693
Median peer was paid$252K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2020 | 361 | $4K | |
| 2021 | 6,985 | $111K | |
| 2022 | 6,429 | $104K | |
| 2023 | 2,300 | $35K | |
| 2024incomplete | 1,755 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 1,826 | 1,762 | $50K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 1,360 | 1,313 | $47K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 2,724 | 1,518 | $29K |
| D1208 | Topical application of fluoride, excluding varnish | 9.5% | 1,912 | 1,839 | $27K |
| D0272 | Bitewings - two radiographic images | 7.8% | 969 | 935 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 7.3% | 1,708 | 1,627 | $20K |
| D1351 | Sealant - per tooth | 5.5% | 578 | 199 | $15K |
| D1110 | Prophylaxis - adult | 4.8% | 274 | 256 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.4% | 500 | 465 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 144 | 90 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 108 | 81 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 3.3% | 148 | 146 | $9K |
6 more codes
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 officialSU, JIE (PRESIDENT)