Dental
Park, Haeri
Park, Haeri was paid $33K by Medicaid between Sep 2018 and May 2019, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoPARK, HAERI
EASTPOINTE, MI 48021
EASTPOINTE, MI 48021
33aNPI1073006102assigned 06/13/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$33K
24GClaims853
24DCodes billed13
24AFirst – last monthSep 2018 – May 2019
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#590 of 1,554
Median peer was paid$15K
This provider vs. median2.3×
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 | 216 | $9K | |
| 2019 | 637 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 77 | 33 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 117 | 117 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 14% | 66 | 30 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 128 | 128 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 8.7% | 116 | 116 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.3% | 66 | 66 | $3K |
| D1110 | Prophylaxis - adult | 7.6% | 53 | 53 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 5.5% | 31 | 31 | $2K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 42 | 41 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 77 | 76 | $1K |
| D0274 | Bitewings - four radiographic images | 2.8% | 29 | 29 | $913.76 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 39 | 30 | $351.00 |
1 more codes
| D0272 | Bitewings - two radiographic images | <1% | 12 | $300.00 |
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.