Dental
Li DDS Dental INC.
Li DDS Dental INC. was paid $2.15M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D2330, — 22% of everything it billed.
33Billing provider infoLI DDS DENTAL INC.
DIAMOND BAR, CA 91765
DIAMOND BAR, CA 91765
33aNPI1679932032assigned 02/15/2016
33bProvider typePeriodontist
28Total paid$2.15M
24GClaims65,920
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Periodontist providers in California
Rank by total paid#2 of 17
Median peer was paid$38K
This provider vs. median57×
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 | 1,688 | $33K | |
| 2019 | 2,997 | $63K | |
| 2020 | 1,814 | $47K | |
| 2021 | 9,248 | $361K | |
| 2022 | 16,097 | $587K | |
| 2023 | 19,983 | $569K | |
| 2024incomplete | 14,093 | $494K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2330 | 22% | 6,219 | 851 | $474K | |
| D4260 | 16% | 649 | 227 | $339K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 15% | 6,018 | 934 | $321K |
| D0350 | 8.9% | 20,284 | 4,712 | $193K | |
| D4341 | 8.9% | 2,504 | 724 | $192K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.5% | 2,086 | 2,082 | $139K |
| D1110 | Prophylaxis - adult | 5.2% | 1,289 | 1,287 | $112K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 16,014 | 3,798 | $70K |
| D0330 | Panoramic radiographic image | 2.5% | 1,841 | 1,836 | $54K |
| D9110 | 2.1% | 747 | 682 | $46K | |
| D9430 | 2.1% | 1,442 | 1,348 | $46K | |
| D4910 | 1.9% | 549 | 547 | $41K |
8 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 3,322 | $39K |
| D1206 | Topical application of fluoride varnish | 1.6% | 2,055 | $34K |
| D1120 | Dental cleaning, child | 1.0% | 470 | $22K |
| D0120 | Dental checkup, returning patient | <1% | 279 | $18K |
| D4261 | <1% | 27 | $9K | |
| D1351 | Sealant - per tooth | <1% | 87 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 20 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 18 | $345.60 |
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, JINGJING (CEO)