LI BAO, D.M.D.
Oral and Maxillofacial Surgery (Dentist) · ALBUQUERQUE, NM
Individual Active NPI 1730501032
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 25 | 630 | $831,287 | $317,337 | $251,331 |
| 2023 | 17 | 439 | $538,864 | $205,812 | $163,676 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 15574 | Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet | 70 | $477 | $380 |
| 20245 | Biopsy of deep bone | 33 | $165 | $131 |
| 11012 | Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone | 33 | $314 | $240 |
| 21215 | Repair of lower jaw bone with bone graft | 33 | $3,408 | $2,715 |
| 21210 | Repair of nasal or cheek bone with bone graft | 29 | $1,544 | $1,230 |
| 40812 | Removal of growth of mouth with simple repair | 28 | $128 | $102 |
| 38206 | Collection of stem cells for transplantation | 28 | $39 | $31 |
| 41006 | Drainage of abscess, cyst, or blood accumulation of tongue or floor of mouth from inside mouth | 28 | $153 | $122 |
| 99195 | Drawing of blood for a medical problem | 28 | $86 | $68 |
| 40831 | Repair of lacerated mouth, more than 2.5 cm | 27 | $141 | $112 |
| 21208 | Incision and repair of bony defect of cheek bone with repositioning of bony segment | 26 | $743 | $592 |
| 21085 | Impression and custom preparation of oral surgical splint | 23 | $622 | $488 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | ✓ | DD4029 | NM |
| Dentist | 122300000X | 63209 | CA | |
| Dentist | 122300000X | DD4029 | NM | |
| General Practice Dentistry | 1223G0001X | DD4029 | NM |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Other Oral and Maxillofacial Surgery (Dentist) providers in New Mexico
- NPI 1043967813
- NPI 1205062858
- NPI 1750340147
- NPI 1215143862
- NPI 1033369749
- NPI 1447324280
- NPI 1063470904
- NPI 1417934480
See all Oral and Maxillofacial Surgery (Dentist) providers in New Mexico →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.