JUSTIN H. LIAO D.D.S. INC.
NPI: 1700391810
· SAN GABRIEL, CA 91776
· Dentist
· NPI assigned 12/12/2017
Provider Details
| Authorized Official | LIAO, HSI CHUNG (PRESIDENT) |
| NPI Enumeration Date | 12/12/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
28 |
$162.00 |
| 2022 |
58 |
$843.00 |
| 2023 |
148 |
$3K |
| 2024 |
240 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
40 |
40 |
$3K |
| D1110 |
Prophylaxis - adult |
27 |
27 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
153 |
148 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
227 |
39 |
$915.31 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$156.00 |
| D1999 |
|
14 |
14 |
$15.00 |