Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OR › Grants Pass › NPI 1841834918
Dental

Li, Wen

Li, Wen was paid $83K by Medicaid between Aug 2023 and Nov 2024, across 27 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 22% of everything it billed.

33Billing provider infoLI, WEN
GRANTS PASS, OR 97526
33aNPI1841834918assigned 11/01/2019
28Total paid$83K
24GClaims17,728
24DCodes billed27
24AFirst – last monthAug 2023 – Nov 2024
Compared with peers

Next to other General Practice Dentistry providers in Oregon

Rank by total paid#74 of 311
Median peer was paid$6K
This provider vs. median13×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20235,367$31K
2024incomplete12,361$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7140 Extraction, erupted tooth or exposed root 22% 987 458 $19K
D0150 Comprehensive oral evaluation - new or established patient 11% 966 959 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 11% 762 535 $9K
D0140 Limited oral evaluation - problem focused 7.0% 854 830 $6K
D0230 Intraoral - periapical each additional radiographic image 6.6% 3,428 1,407 $5K
D0220 Intraoral - periapical first radiographic image 6.4% 2,040 2,007 $5K
D0274 Bitewings - four radiographic images 6.3% 1,047 1,040 $5K
D1120 Dental cleaning, childProphylaxis - child 5.9% 698 694 $5K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.9% 463 350 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 4.2% 243 210 $4K
D1110 Prophylaxis - adult 3.6% 383 379 $3K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 3.0% 942 935 $2K
15 more codes
D1208 Topical application of fluoride, excluding varnish 2.2% 667 $2K
D1206 Topical application of fluoride varnish 1.7% 391 $1K
D2331 1.7% 147 $1K
D0272 Bitewings - two radiographic images <1% 201 $680.00
D0210 Intraoral - complete series of radiographic images <1% 32 $406.00
D2332 <1% 17 $297.00
D2335 <1% 18 $226.00
D0603 <1% 123 $187.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 12 $52.00
D0240 <1% 28 $48.00
D1330 <1% 1,490 $40.07
D0601 <1% 13 $11.00
D1310 <1% 694 $0.01
D9986 0% 1,057 $0.00
D4910 0% 25 $0.00

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.