Le, Mai

Le, Mai was paid $474K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.

33Billing provider infoLE, MAI
SAN GABRIEL, CA 91776

33aNPI1982755591assigned 01/12/2007

33bProvider typeDentist

28Total paid$474K

24GClaims17,627

24DCodes billed18

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in California

Rank by total paid#806 of 2,314

Median peer was paid$185K

This provider vs. median2.6×

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	3,132	$76K
2019	3,435	$93K
2020	1,613	$33K
2021	2,408	$60K
2022	2,623	$85K
2023	2,622	$75K
2024incomplete	1,794	$51K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	2,213	2,206	$125K
D1110	Prophylaxis - adult	17%	988	980	$83K
D1120	Dental cleaning, childProphylaxis - child	11%	1,409	1,406	$53K
D2150	Silver amalgam - two surfaces, primary or permanent	9.0%	644	367	$43K
D1208	Topical application of fluoride, excluding varnish	7.2%	2,722	2,707	$34K
D0230	Intraoral - periapical each additional radiographic image	5.9%	6,628	2,186	$28K
D0150	Comprehensive oral evaluation - new or established patient	5.2%	409	407	$25K
D0274	Bitewings - four radiographic images	4.9%	1,103	1,099	$23K
D4910		4.1%	253	251	$19K
D0210	Intraoral - complete series of radiographic images	3.5%	355	354	$16K
D4341		1.9%	130	42	$9K
D0220	Intraoral - periapical first radiographic image	<1%	330	328	$4K

6 more codes

D2140		<1%	57	$3K
D7140	Extraction, erupted tooth or exposed root	<1%	49	$3K
D0272	Bitewings - two radiographic images	<1%	176	$2K
D1320		<1%	130	$2K
D2160		<1%	14	$1K
D0350		<1%	17	$208.50

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.