Dental
Li, Rui
Li, Rui was paid $513.85 by Medicaid between Jul 2019 and Jul 2019, across 1 billing code. Its largest line is D1120, dental cleaning, child — 100% of everything it billed.
33Billing provider infoLI, RUI
FARMINGTON, CT 06032
FARMINGTON, CT 06032
33aNPI1881102366assigned 01/18/2018
33bProvider typeProsthodontist
28Total paid$513.85
24GClaims12
24DCodes billed1
24AFirst – last monthJul 2019 – Jul 2019
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 | |
|---|---|---|---|
| 2019 | 12 | $513.85 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 100% | 12 | 12 | $513.85 |
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.