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NPI 1730501032 · Albuquerque, NM · Oral and Maxillofacial Surgery (Dentist)
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Li Bao is a oral and maxillofacial surgery (dentist) provider located in Albuquerque, New Mexico. This profile covers 6 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Li Bao |
| Address | 475 Coors Blvd Nw Ste A |
| City | Albuquerque |
| State | NM |
| ZIP | 87121 |
| Taxonomy | Oral and Maxillofacial Surgery (Dentist) |
| NPI Enumerated | January 7, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $5.3K |
| Medicaid | $1.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 20 | $170 | $2.5K |
| 76377 | In this procedure, the provider performs interpretation and reporting for computed tomograph, magnetic resonance imaging, ultrasound, or other tomographic modality under concurrent supervision with… | 20 | $50 | $920 |
| 70150 | The provider performs a plain X–ray exam of the facial bones, including at least three views, to determine if the patient has sustained facial fractures or some other abnormality. | 20 | $30 | $620 |
| 70486 | The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam. | 20 | $30 | $600 |
| 70110 | The provider takes plain X–rays of the mandible, or the lower jaw bone; he obtains 4 or more views as needed to diagnose a fracture or other abnormality, or to confirm reduction of a fracture. | 20 | $30 | $500 |
| 70355 | The provider takes panoramic X–rays of the patient’s upper and lower jaws to diagnose a fracture or injury to the jaw. | 10 | $10 | $160 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Mexico median
Other providers in the same ZIP code as Li Bao, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Tasker Hatch Rowan LLC | NM | Dentist | $0 | $4.8M |
| Tasker Hatch Rowan LLC | NM | Dentist | $0 | $4.3M |
| Kid's Choice Dental, Inc | NM | General Practice Dentistry | $0 | $3.3M |
| Albuquerque Westside, LLC | NM | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $3.2M |
| Kid's Choice Dental, Inc | NM | General Practice Dentistry | $0 | $2.7M |
| Cynthia Ziemer | NM | Clinical Psychologist | $67.2K | $0 |
| Fredie Diaz | NM | Internal Medicine Physician | $45.3K | $0 |
| Cindy Hoang | NM | Family Medicine Physician | $12.7K | $0 |
| Abdul Mamdani | NM | Physician Assistant | $12.6K | $0 |
| Joshua Gentry | NM | Physical Therapist | $5.8K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.