Li, Cassy

Li, Cassy was paid $48K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 57% of everything it billed.

33Billing provider infoLI, CASSY
SAN GABRIEL, CA 91776

33aNPI1578575643assigned 08/13/2006

33bProvider typeDentist

28Total paid$48K

24GClaims2,896

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,563 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	186	$2K
2019	400	$3K
2020	234	$3K
2021	576	$7K
2022	448	$9K
2023	708	$15K
2024incomplete	344	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	57%	668	665	$27K
D1120	Dental cleaning, childProphylaxis - child	24%	512	508	$12K
D0230	Intraoral - periapical each additional radiographic image	6.3%	913	223	$3K
D0150	Comprehensive oral evaluation - new or established patient	4.0%	48	48	$2K
D1110	Prophylaxis - adult	3.7%	25	25	$2K
D0220	Intraoral - periapical first radiographic image	2.4%	211	183	$1K
D0210	Intraoral - complete series of radiographic images	1.1%	25	25	$514.00
D0274	Bitewings - four radiographic images	<1%	42	42	$428.40
D1208	Topical application of fluoride, excluding varnish	<1%	15	15	$140.00
D1999		<1%	437	412	$90.00

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.