LI'S DENTAL CORPORATION
NPI: 1013030931
· OAKLAND, CA 94607
· General Practice Dentistry
· NPI assigned 04/07/2007
$1.14M
Total Medicaid Paid
Provider Details
| Authorized Official | LI, DAVID (OWNER) |
| NPI Enumeration Date | 04/07/2007 |
Related Entities
Other providers sharing the same authorized official: LI, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,688 |
$275K |
| 2019 |
8,125 |
$310K |
| 2020 |
1,480 |
$55K |
| 2021 |
4,384 |
$174K |
| 2022 |
3,945 |
$175K |
| 2023 |
3,666 |
$138K |
| 2024 |
289 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
4,043 |
4,031 |
$328K |
| D0120 |
Periodic oral evaluation - established patient |
3,411 |
3,402 |
$159K |
| D4341 |
|
2,281 |
642 |
$156K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,045 |
2,041 |
$123K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,061 |
1,284 |
$116K |
| D0210 |
Intraoral - complete series of radiographic images |
1,871 |
1,864 |
$85K |
| D1208 |
Topical application of fluoride, excluding varnish |
5,180 |
5,167 |
$65K |
| D1120 |
Prophylaxis - child |
1,035 |
1,035 |
$33K |
| D0230 |
Intraoral - periapical each additional radiographic image |
7,203 |
1,682 |
$27K |
| D9430 |
|
767 |
759 |
$23K |
| D0220 |
Intraoral - periapical first radiographic image |
1,362 |
1,338 |
$16K |
| D0274 |
Bitewings - four radiographic images |
274 |
271 |
$5K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
19 |
12 |
$1K |
| D0270 |
|
25 |
25 |
$123.75 |