Doctor profile · Federal record
Dr. LI BAO, D.M.D.
Oral and Maxillofacial Surgery (Dentist) · Dentist · Dentist · General Practice Dentistry · ALBUQUERQUE, NM
- NPI 1730501032
- 12 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
475 COORS BLVD NW STE A
ALBUQUERQUE, NM 871211426
(505) 208-0505 - Additional location
-
4111 Barbara Loop SE Ste E2
Rio Rancho, NM 871241068
Credentials & registration
- NPI registered
- January 2014 — 12 yrs on file
- Profile last updated
- August 6, 2024
- Specialty taxonomy
- 1223S0112X — NUCC code
- State licenses (2)
- New Mexico #DD4029 · California #63209
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1730501032. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
104
Distinct HCPCS
6
Medicare allowed
$6,857
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
70150 |
X-ray of face bones, minimum of 3 views | 20 | 12 | $40 | |
70486 |
Ct scan of face without contrast | 20 | 15 | $40 | |
70110 |
X-ray of lower jaw, minimum of 4 views | 18 | 12 | $37 | |
76377 |
3d radiographic procedure with computerized image postprocessing | 18 | 14 | $68 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 15 | 15 | $210 | |
70355 |
X-ray of lower jaws, upper jaws and teeth | 13 | 12 | $16 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 17. This provider delivers 6.1× the peer median.Open Payments
Industry payments received
All-time total
$41
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 2 | $41.27 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
78
Patients
37
Total drug cost
$356
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 65 | 24 | $226 |
| Chlorhexidine Gluconate | Generic | 13 | 13 | $129 |