Supplier
Xu Family Dental, LLC
Xu Family Dental, LLC was paid $270K by Medicaid between Jun 2019 and Dec 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoXU FAMILY DENTAL, LLC
INDIANAPOLIS, IN 46204
INDIANAPOLIS, IN 46204
33aNPI1689165672assigned 05/24/2018
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$270K
24GClaims8,597
24DCodes billed16
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Indiana
Rank by total paid#93 of 560
Median peer was paid$29.96
This provider vs. median9,028×
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 | |
|---|---|---|---|
| 2019 | 676 | $26K | |
| 2020 | 463 | $15K | |
| 2021 | 1,306 | $38K | |
| 2022 | 2,088 | $64K | |
| 2023 | 2,387 | $74K | |
| 2024incomplete | 1,677 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 1,043 | 995 | $54K |
| D0274 | Bitewings - four radiographic images | 14% | 1,004 | 976 | $39K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,268 | 1,223 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 758 | 716 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 267 | 125 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.0% | 1,884 | 657 | $22K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.1% | 271 | 93 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 1,157 | 1,064 | $14K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.2% | 53 | 26 | $9K |
| D4910 | 3.2% | 57 | 55 | $9K | |
| D0330 | Panoramic radiographic image | 3.1% | 131 | 124 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 389 | 372 | $8K |
4 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 officialXU, HAIFENG (DENTIST/OWNER)