Dental
Sum Li, DDS, INC.
Sum Li, DDS, INC. was paid $48K by Medicaid between Mar 2018 and Oct 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 69% of everything it billed.
33Billing provider infoSUM LI, DDS, INC.
ALHAMBRA, CA 91803
ALHAMBRA, CA 91803
33aNPI1306254800assigned 07/28/2014
33bProvider typeDentist
28Total paid$48K
24GClaims1,770
24DCodes billed6
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,565 of 2,314
Median peer was paid$185K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2018 | 344 | $6K | |
| 2019 | 378 | $9K | |
| 2020 | 108 | $4K | |
| 2021 | 378 | $9K | |
| 2022 | 248 | $8K | |
| 2023 | 203 | $9K | |
| 2024incomplete | 111 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 69% | 392 | 387 | $33K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 1,117 | 497 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.5% | 70 | 68 | $4K |
| D0274 | Bitewings - four radiographic images | 6.6% | 153 | 153 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.2% | 23 | 12 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15 | 15 | $180.00 |
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.
From NPPES
Who's on the registration
Authorized officialLI, SUM (OWNER)