Clinic
Olivia Park Dental Corporation
Olivia Park Dental Corporation was paid $374K by Medicaid between Oct 2022 and Dec 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 17% of everything it billed.
33Billing provider infoOLIVIA PARK DENTAL CORPORATION
SHAFTER, CA 93263
SHAFTER, CA 93263
33aNPI1083368765assigned 02/10/2022
33bProvider typeDental Clinic/Center
28Total paid$374K
24GClaims10,269
24DCodes billed14
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#439 of 1,135
Median peer was paid$200K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2022 | 231 | $10K | |
| 2023 | 4,145 | $157K | |
| 2024incomplete | 5,893 | $208K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 947 | 944 | $62K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 910 | 465 | $60K |
| D1110 | Prophylaxis - adult | 12% | 504 | 504 | $45K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 821 | 820 | $39K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.6% | 451 | 294 | $36K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 595 | 592 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 398 | 233 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.2% | 257 | 256 | $20K |
| D0350 | 5.0% | 2,148 | 678 | $19K | |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 1,147 | 1,145 | $18K |
| D9430 | 3.1% | 364 | 358 | $12K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 1,285 | 475 | $5K |
2 more codes
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, OLIVIA (PRESIDENT)