Hongbo Xu D.D.S.

Hongbo Xu D.D.S. was paid $42K by Medicaid between Jan 2018 and Feb 2022, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.

33Billing provider infoHONGBO XU D.D.S.
SANTA MONICA, CA 90404

33aNPI1619313301assigned 05/21/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$42K

24GClaims1,637

24DCodes billed7

24AFirst – last monthJan 2018 – Feb 2022

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#1,842 of 2,668

Median peer was paid$173K

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
2018	518	$10K
2019	441	$12K
2020	386	$12K
2021	267	$7K
2022	25	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	37%	367	367	$15K
D1120	Dental cleaning, childProphylaxis - child	28%	394	394	$12K
D1110	Prophylaxis - adult	11%	49	49	$4K
D0230	Intraoral - periapical each additional radiographic image	7.5%	394	389	$3K
D0150	Comprehensive oral evaluation - new or established patient	6.0%	38	38	$2K
D0274	Bitewings - four radiographic images	5.8%	113	113	$2K
D1208	Topical application of fluoride, excluding varnish	5.4%	282	280	$2K

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 officialXU, HONGBO (OWNER)