Dental
Hsieh, Johanna
Hsieh, Johanna was paid $412.50 by Medicaid between Oct 2020 and Jun 2021, across 12 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 36% of everything it billed.
33Billing provider infoHSIEH, JOHANNA
DAVIS, CA 95616
DAVIS, CA 95616
33aNPI1790233567assigned 09/21/2016
33bProvider typeDentist
28Total paid$412.50
24GClaims1,929
24DCodes billed12
24AFirst – last monthOct 2020 – Jun 2021
Compared with peers
Next to other Dentist providers in California
Rank by total paid#2,221 of 2,314
Median peer was paid$185K
This provider vs. median0.0×
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 | 641 | $0.00 | |
| 2021 | 1,288 | $412.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 36% | 168 | 165 | $150.00 |
| D1110 | Prophylaxis - adult | 31% | 173 | 172 | $127.50 |
| D1206 | Topical application of fluoride varnish | 18% | 239 | 237 | $75.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 201 | 197 | $60.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 360 | 249 | $0.00 |
| D9430 | 0% | 123 | 120 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 91 | 90 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 26 | 26 | $0.00 |
| D0270 | 0% | 25 | 25 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 323 | 161 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 41 | 40 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 159 | 155 | $0.00 |
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.