Dental
Su, Jie
Su, Jie was paid $24K by Medicaid between Jun 2023 and Apr 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoSU, JIE
PLANO, TX 75024
PLANO, TX 75024
33aNPI1891995783assigned 07/19/2007
33bProvider typePediatric Dentist
28Total paid$24K
24GClaims1,774
24DCodes billed11
24AFirst – last monthJun 2023 – Apr 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#525 of 693
Median peer was paid$252K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 1,332 | $19K | |
| 2024incomplete | 442 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 220 | 198 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 137 | 123 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 347 | 179 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 226 | 203 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 9.8% | 212 | 189 | $2K |
| D0272 | Bitewings - two radiographic images | 6.8% | 81 | 71 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.2% | 52 | 48 | $1K |
| D1110 | Prophylaxis - adult | 5.0% | 31 | 25 | $1K |
| D1351 | Sealant - per tooth | 4.7% | 50 | 15 | $1K |
| D3120 | 0% | 12 | 12 | $0.00 | |
| D0603 | 0% | 406 | 372 | $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.