NPI: 1104422245 · SACRAMENTO, CA 95823 · General Practice Dentistry · NPI assigned 12/04/2020
Authorized official PARK, DAVID controls 20+ related entities in our dataset. Read more
| Authorized Official | PARK, DAVID (DENTIST/OWNER) |
| Parent Organization | S PARK DDS INC |
| NPI Enumeration Date | 12/04/2020 |
Other providers sharing the same authorized official: PARK, DAVID
| Provider | City | State | Total Paid |
|---|---|---|---|
| RC DENTAL GROUP | RANCHO CORDOVA | CA | $7.79M |
| DR. PARK DENTAL OFFICE 1, LLC | SAINT PAUL | MN | $5.26M |
| CLD - BROOKLYN PARK MN, LLC | BROOKLYN PARK | MN | $3.51M |
| SANGHO PARK DDS INC. | SACRAMENTO | CA | $1.93M |
| PRO DENTAL GROUP | SACRAMENTO | CA | $1.81M |
| D PARK PROFESSIONAL DENTAL CORP | SANTA ANA | CA | $1.71M |
| CLD - COON RAPIDS MN, LLC | COON RAPIDS | MN | $1.52M |
| D PARK MPH DDS DENTAL CORPORATION | STOCKTON | CA | $1.10M |
| D PARK DDS INC | MODESTO | CA | $998K |
| DAVID PARK DENTAL CORP. | NORTH HIGHLANDS | CA | $978K |
| PARK DDS MPH INC | GALT | CA | $963K |
| EMERGENCY DENTAL PROFESSIONALS, LLC | SAINT PAUL | MN | $925K |
| DR D S PARK DENTAL INC | WASCO | CA | $792K |
| D S PARK DENTAL CORP | PALMDALE | CA | $789K |
| DAVID PARK MPH DDS PROFESSIONAL CORPORATION | LANCASTER | CA | $707K |
| S PARK DDS INC | ELK GROVE | CA | $557K |
| DR D S PARK DENTAL INC | DELANO | CA | $522K |
| CLD - RICHFIELD MN, LLC | RICHFIELD | MN | $503K |
| CLD - ROCHESTER MN, LLC | ROCHESTER | MN | $445K |
| D.S PARK DDS, INC | MURRIETA | CA | $345K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 659 | $14K |
| 2022 | 1,512 | $23K |
| 2023 | 439 | $6K |
| 2024 | 1,530 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 784 | 781 | $33K |
| D0210 | Intraoral - complete series of radiographic images | 481 | 481 | $10K |
| D1110 | Prophylaxis - adult | 146 | 146 | $8K |
| D1206 | Topical application of fluoride varnish | 407 | 406 | $7K |
| D9430 | 332 | 324 | $6K | |
| D1120 | Prophylaxis - child | 113 | 113 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 438 | 431 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 75 | 61 | $3K |
| D0120 | Periodic oral evaluation - established patient | 58 | 58 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 425 | 235 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18 | 13 | $940.80 |
| D0272 | Bitewings - two radiographic images | 39 | 39 | $297.00 |
| D0270 | 52 | 52 | $95.00 | |
| D1330 | 772 | 768 | $0.00 |