Dental
Xu, David
Xu, David was paid $4K by Medicaid between Nov 2019 and Feb 2021, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 53% of everything it billed.
33Billing provider infoXU, DAVID
VESTAL, NY 13850
VESTAL, NY 13850
33aNPI1932648201assigned 02/18/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims106
24DCodes billed3
24AFirst – last monthNov 2019 – Feb 2021
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,782 of 2,184
Median peer was paid$54K
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 | |
|---|---|---|---|
| 2019 | 15 | $413.25 | |
| 2020 | 18 | $495.90 | |
| 2021 | 73 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 53% | 70 | 70 | $2K |
| D1110 | Prophylaxis - adult | 35% | 24 | 24 | $1K |
| D0274 | Bitewings - four radiographic images | 13% | 12 | 12 | $456.00 |
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.