LI DENTAL ASSOCIATION
NPI: 1194250209
· NORTH POTOMAC, MD 20878
· General Practice Dentistry
· NPI assigned 04/26/2017
Provider Details
| Authorized Official | LI, WEI (OWNER) |
| NPI Enumeration Date | 04/26/2017 |
Related Entities
Other providers sharing the same authorized official: LI, WEI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
65 |
$2K |
| 2019 |
27 |
$621.00 |
| 2021 |
27 |
$712.20 |
| 2022 |
26 |
$795.25 |
| 2023 |
59 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
53 |
52 |
$2K |
| D1110 |
Prophylaxis - adult |
17 |
17 |
$1K |
| D1206 |
Topical application of fluoride varnish |
40 |
40 |
$996.80 |
| D1208 |
Topical application of fluoride, excluding varnish |
39 |
39 |
$897.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$676.08 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$643.30 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$550.81 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$385.12 |