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

S Park DDS INC

S Park DDS INC was paid $80K by Medicaid between Mar 2021 and Nov 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 41% of everything it billed.

33Billing provider infoS PARK DDS INC
SACRAMENTO, CA 95823
33aNPI1104422245assigned 12/04/2020
28Total paid$80K
24GClaims4,140
24DCodes billed14
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#1,641 of 2,668
Median peer was paid$173K
This provider vs. median0.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PARK, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
2021659$14K
20221,512$23K
2023439$6K
2024incomplete1,530$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 41% 784 781 $33K
D0210 Intraoral - complete series of radiographic images 13% 481 481 $10K
D1110 Prophylaxis - adult 9.8% 146 146 $8K
D1206 Topical application of fluoride varnish 8.2% 407 406 $7K
D9430 7.9% 332 324 $6K
D1120 Dental cleaning, childProphylaxis - child 5.1% 113 113 $4K
D0220 Intraoral - periapical first radiographic image 4.0% 438 431 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.8% 75 61 $3K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 3.1% 58 58 $2K
D0230 Intraoral - periapical each additional radiographic image 2.5% 425 235 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.2% 18 13 $940.80
D0272 Bitewings - two radiographic images <1% 39 39 $297.00
2 more codes
D0270 <1% 52 $95.00
D1330 0% 772 $0.00

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, DAVID (DENTIST/OWNER)
Parent organizationS PARK DDS INC
Same official

Other billing entities under PARK, DAVID

Full network →
ProviderLocationPaid
RC Dental GroupRancho Cordova, CA$7.79M
DR. Park Dental Office 1, LLCSaint Paul, MN$5.26M
CLD - Brooklyn Park MN, LLCBrooklyn Park, MN$3.51M
Sangho Park DDS INC.Sacramento, CA$1.93M
Pro Dental GroupSacramento, CA$1.81M
D Park Professional Dental CorpSanta Ana, CA$1.71M
CLD - Coon Rapids MN, LLCCoon Rapids, MN$1.52M
D Park MPH DDS Dental CorporationStockton, CA$1.10M
D Park DDS INCModesto, CA$998K
David Park Dental Corp.North Highlands, CA$978K
Park DDS MPH INCGalt, CA$963K
Emergency Dental Professionals, LLCSaint Paul, MN$925K
DR D S Park Dental INCWasco, CA$792K
D S Park Dental CorpPalmdale, CA$789K
David Park MPH DDS Professional CorporationLancaster, CA$707K
S Park DDS INCElk Grove, CA$557K
DR D S Park Dental INCDelano, CA$522K
CLD - Richfield MN, LLCRichfield, MN$503K
CLD - Rochester MN, LLCRochester, MN$445K
D.S Park DDS, INCMurrieta, CA$345K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.