Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHASAN WILLIAM LIOU, DMD, LLC

NPI: 1730697723 · PLANTATION, FL 33325 · Pediatric Dentist · NPI assigned 01/12/2018

$2.21M
Total Medicaid Paid
149,527
Total Claims
138,299
Beneficiaries
27
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLIOU, SHASAN (MANAGER)
NPI Enumeration Date01/12/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 522 $8K
2020 14,061 $301K
2021 5,403 $83K
2022 43,810 $737K
2023 46,790 $633K
2024 38,941 $446K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 12,208 11,987 $807K
D1110 Prophylaxis - adult 6,217 6,124 $402K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4,138 2,683 $253K
D0330 Panoramic radiographic image 1,685 1,641 $106K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3,001 2,828 $70K
D1208 Topical application of fluoride, excluding varnish 18,215 17,895 $69K
D0120 Periodic oral evaluation - established patient 17,066 16,776 $68K
D0210 Intraoral - complete series of radiographic images 884 880 $52K
D1351 Sealant - per tooth 7,102 2,049 $52K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,417 1,023 $49K
D1330 18,538 18,216 $47K
D0150 Comprehensive oral evaluation - new or established patient 748 738 $37K
D0230 Intraoral - periapical each additional radiographic image 18,137 16,410 $36K
D0272 Bitewings - two radiographic images 10,412 10,229 $30K
D0220 Intraoral - periapical first radiographic image 17,695 17,313 $30K
D9920 4,955 4,837 $26K
D7111 395 270 $22K
D0140 Limited oral evaluation - problem focused 930 892 $13K
D7140 Extraction, erupted tooth or exposed root 247 156 $12K
D2930 Prefabricated stainless steel crown - primary tooth 80 64 $12K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 72 63 $8K
D1999 383 375 $6K
D0274 Bitewings - four radiographic images 4,399 4,321 $2K
D9996 65 43 $600.96
D9995 66 44 $432.48
D3120 179 150 $71.96
D9986 293 292 $0.00