Dental
D S Park DDS MPH INC
D S Park DDS MPH INC was paid $59K by Medicaid between Feb 2018 and Aug 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 39% of everything it billed.
33Billing provider infoD S PARK DDS MPH INC
MERCED, CA 95348
MERCED, CA 95348
33aNPI1063942597assigned 06/18/2017
33bProvider typeDentist
28Total paid$59K
24GClaims2,167
24DCodes billed14
24AFirst – last monthFeb 2018 – Aug 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,516 of 2,314
Median peer was paid$185K
This provider vs. median0.3×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 759 | $21K | |
| 2019 | 632 | $23K | |
| 2021 | 12 | $792.00 | |
| 2022 | 267 | $4K | |
| 2023 | 165 | $3K | |
| 2024incomplete | 332 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 39% | 406 | 398 | $23K |
| D0210 | Intraoral - complete series of radiographic images | 24% | 309 | 307 | $14K |
| D9430 | 13% | 252 | 220 | $8K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 39 | 39 | $3K |
| D1110 | Prophylaxis - adult | 3.7% | 47 | 44 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 499 | 238 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 35 | 15 | $2K |
| D1206 | Topical application of fluoride varnish | 2.7% | 96 | 93 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 16 | 12 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 113 | 109 | $1K |
| D4910 | 1.6% | 12 | 12 | $924.00 | |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 64 | 61 | $605.00 |
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 officialDE ARMON, BRANDI (REGIONAL MANAGER)
| Provider | Location | Paid |
|---|---|---|
| David Sangho Park DDS INC | Richmond, CA | $63K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.