Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Tae Een Park,d.D.S.,Inc

Tae Een Park,d.D.S.,Inc was paid $2.55M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 11% of everything it billed.

33Billing provider infoTAE EEN PARK,D.D.S.,INC
OAKDALE, CA 95361
33aNPI1063889558assigned 08/31/2015
33bProvider typeDental Clinic/Center
28Total paid$2.55M
24GClaims54,724
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in California

Rank by total paid#118 of 1,135
Median peer was paid$200K
This provider vs. median13×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20187,029$251K
20196,349$277K
20206,726$316K
20218,203$392K
20229,178$433K
20239,343$454K
2024incomplete7,896$430K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 11% 2,431 1,323 $283K
D1110 Prophylaxis - adult 11% 3,202 3,186 $274K
D0150 Comprehensive oral evaluation - new or established patient 9.4% 3,839 3,812 $240K
D7140 Extraction, erupted tooth or exposed root 8.4% 3,821 1,180 $214K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.1% 2,799 2,791 $181K
D0210 Intraoral - complete series of radiographic images 6.0% 3,316 3,291 $152K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5.8% 2,748 1,185 $147K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5.6% 2,189 1,141 $142K
D4910 4.7% 1,581 1,576 $121K
D0350 4.6% 6,176 3,813 $118K
D1120 Dental cleaning, childProphylaxis - child 3.4% 2,027 2,017 $86K
D1206 Topical application of fluoride varnish 3.2% 5,422 5,394 $82K
17 more codes
D2150 Silver amalgam - two surfaces, primary or permanent 3.2% 1,238 $82K
D0230 Intraoral - periapical each additional radiographic image 2.8% 5,571 $72K
D2751 Crown - porcelain fused to predominantly base metal 2.2% 117 $56K
D9430 2.2% 1,730 $55K
D0274 Bitewings - four radiographic images 2.1% 2,533 $53K
D2740 Crown - porcelain/ceramic 1.5% 81 $39K
D3221 1.3% 548 $34K
D4341 <1% 335 $23K
D2954 <1% 218 $23K
D2140 <1% 419 $23K
D0330 Panoramic radiographic image <1% 636 $19K
D0220 Intraoral - periapical first radiographic image <1% 1,313 $16K
D4342 <1% 247 $10K
D2330 <1% 60 $5K
D2160 <1% 53 $4K
D0272 Bitewings - two radiographic images <1% 51 $588.00
D1999 <1% 23 $10.00

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.

From NPPES

Who's on the registration

Authorized officialPARK, TAE EEN (CEO)