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SUSAN LAI DMD
NPI 1104518968
Dentist in Wilsonville, OR

Active since May 22, 2023PECOS Enrolled
30040 SW BOONES FERRY RD STE 20, WILSONVILLE, OR 97070(503) 682-4500 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Lai Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN LAI DMD (NPI 1104518968) is an individual dentist in Wilsonville, Oregon, licensed in Oregon (D11824) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1104518968
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSUSAN LAICredential: DMD
Location Address30040 SW BOONES FERRY RD STE 20Wilsonville, OR 97070-8910
Mailing Address12676 Sw 133rd AveTigard, OR 97223-4714 · (503) 927-8086
Phone(503) 682-4500
Sole ProprietorNo
Enumeration DateMay 22, 2023
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1104518968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D11824
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
30040 SW BOONES FERRY RD STE 20, Wilsonville, OR 97070
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Secondary Practice Location 1

Location 12730 S Moody AvePortland, OR 97201-5042 · Phone (503) 494-8867

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Lai Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RANIA ANNE KHOURI DMD
Dentist
30040 SW BOONES FERRY RD STE 20
WILSONVILLE, OR 97070
Clackamas County (503) 682-4500
DR. NELSON ANTONIO MORALES DMD
Dentist (General Practice)
30040 SW BOONES FERRY RD STE 20
WILSONVILLE, OR 97070
Clackamas County (503) 682-4500
KYAHN DARAEE
Dentist (General Practice)
30040 SW BOONES FERRY RD STE 20
WILSONVILLE, OR 97070
Clackamas County (503) 682-4500
DR. RYAN BRIDGES D.M.D.
Dentist
30040 SW BOONES FERRY RD STE 20
WILSONVILLE, OR 97070
Clackamas County (503) 682-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Lai's NPI number?

The NPI number for Susan Lai is 1104518968. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Susan Lai located?

Susan Lai practices at 30040 SW Boones Ferry Rd Ste 20, Wilsonville, OR 97070. The listed phone number is (503) 682-4500.

What is Susan Lai's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Susan Lai enrolled in Medicare?

Yes. Susan Lai is registered in the Medicare PECOS enrollment system.

What insurance does Susan Lai accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Susan Lai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Lai was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.