Xu, Sijia
Xu, Sijia was paid $284K by Medicaid between Jan 2024 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoXU, SIJIA
BUTLER, PA 16001
BUTLER, PA 16001
33aNPI1902485923assigned 04/06/2021
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$284K
24GClaims9,972
24DCodes billed24
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Pennsylvania
Rank by total paid#24 of 651
Median peer was paid$8K
This provider vs. median37×
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 | |
|---|---|---|---|
| 2024incomplete | 9,972 | $284K |
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 | 16% | 756 | 472 | $47K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 722 | 467 | $38K |
| D1110 | Prophylaxis - adult | 8.4% | 684 | 684 | $24K |
| D0330 | Panoramic radiographic image | 6.1% | 493 | 493 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.1% | 254 | 184 | $17K |
| D0274 | Bitewings - four radiographic images | 6.0% | 624 | 624 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 644 | 644 | $13K |
| D1351 | Sealant - per tooth | 4.3% | 492 | 72 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 4.2% | 184 | 104 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 606 | 606 | $12K |
| D1330 | 4.0% | 1,010 | 1,010 | $11K | |
| D1310 | 4.0% | 1,016 | 1,016 | $11K |
12 more codes
| D1206 | Topical application of fluoride varnish | 3.6% | 557 | $10K |
| D1120 | Dental cleaning, child | 3.3% | 307 | $9K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 165 | $9K |
| D2331 | 1.9% | 90 | $5K | |
| D2330 | 1.6% | 89 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 677 | $4K |
| D0272 | Bitewings - two radiographic images | 1.2% | 217 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 318 | $3K |
| D2332 | <1% | 24 | $2K | |
| D2394 | <1% | 17 | $1K | |
| D2335 | <1% | 14 | $954.20 | |
| D9110 | <1% | 12 | $392.54 |
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.