Dental
Cha, Susan
Cha, Susan was paid $77K by Medicaid between Oct 2019 and Dec 2024, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoCHA, SUSAN
GRAHAM, WA 98338
GRAHAM, WA 98338
33aNPI1770035289assigned 10/31/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$77K
24GClaims1,790
24DCodes billed13
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Washington
Rank by total paid#122 of 319
Median peer was paid$22K
This provider vs. median3.5×
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 | 68 | $741.43 | |
| 2023 | 930 | $43K | |
| 2024incomplete | 792 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 203 | 114 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 18% | 131 | 72 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 239 | 236 | $11K |
| D1110 | Prophylaxis - adult | 10% | 130 | 129 | $8K |
| D4341 | 9.6% | 160 | 71 | $7K | |
| D0210 | Intraoral - complete series of radiographic images | 7.7% | 101 | 100 | $6K |
| D0140 | Limited oral evaluation - problem focused | 7.1% | 162 | 147 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 123 | 123 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 201 | 187 | $2K |
| D1206 | Topical application of fluoride varnish | 1.9% | 59 | 59 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 235 | 158 | $772.05 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 15 | 15 | $502.29 |
1 more codes
| D0274 | Bitewings - four radiographic images | <1% | 31 | $400.23 |
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.