SUM LI, DDS, INC.
NPI: 1306254800
· ALHAMBRA, CA 91803
· Dentist
· NPI assigned 07/28/2014
Provider Details
| Authorized Official | LI, SUM (OWNER) |
| NPI Enumeration Date | 07/28/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
344 |
$6K |
| 2019 |
378 |
$9K |
| 2020 |
108 |
$4K |
| 2021 |
378 |
$9K |
| 2022 |
248 |
$8K |
| 2023 |
203 |
$9K |
| 2024 |
111 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
392 |
387 |
$33K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,117 |
497 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
70 |
68 |
$4K |
| D0274 |
Bitewings - four radiographic images |
153 |
153 |
$3K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
23 |
12 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$180.00 |