Dental
Xu, Na
Xu, Na was paid $726K by Medicaid between Jan 2018 and Nov 2022, across 28 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 12% of everything it billed.
33Billing provider infoXU, NA
SALEM, OR 97302
SALEM, OR 97302
33aNPI1588840235assigned 01/11/2008
33bProvider typeDentist
28Total paid$726K
24GClaims27,322
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#11 of 233
Median peer was paid$19K
This provider vs. median39×
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 | 7,508 | $225K | |
| 2019 | 6,970 | $188K | |
| 2020 | 4,278 | $99K | |
| 2021 | 5,238 | $135K | |
| 2022 | 3,328 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 12% | 4,895 | 4,800 | $89K |
| D4910 | 12% | 1,317 | 1,296 | $86K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,887 | 2,842 | $77K |
| D1110 | Prophylaxis - adult | 10% | 1,660 | 1,627 | $74K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.4% | 1,764 | 1,739 | $69K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.2% | 687 | 382 | $45K |
| D9630 | 5.0% | 2,109 | 2,044 | $37K | |
| D0274 | Bitewings - four radiographic images | 3.9% | 1,067 | 1,049 | $29K |
| D0140 | Limited oral evaluation - problem focused | 3.8% | 812 | 775 | $28K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 2,083 | 2,022 | $26K |
| D4341 | 3.0% | 250 | 105 | $22K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.8% | 339 | 195 | $21K |
16 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 347 | $18K |
| D0603 | 2.4% | 1,666 | $17K | |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 277 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 1,738 | $15K |
| D1330 | 2.0% | 1,673 | $15K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.4% | 397 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 222 | $8K |
| D1351 | Sealant - per tooth | 1.1% | 296 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 87 | $7K |
| D1320 | <1% | 520 | $5K | |
| D2140 | <1% | 82 | $3K | |
| D9310 | <1% | 47 | $2K | |
| D2160 | <1% | 31 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 40 | $760.00 |
| D0601 | <1% | 12 | $132.00 | |
| D1999 | <1% | 17 | $7.00 |
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.