Dental
Park, Soo
Park, Soo was paid $148K by Medicaid between Dec 2018 and Oct 2024, across 14 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 40% of everything it billed.
33Billing provider infoPARK, SOO
LANCASTER, CA 93534
LANCASTER, CA 93534
33aNPI1124084728assigned 04/22/2006
33bProvider typeDentist
28Total paid$148K
24GClaims3,793
24DCodes billed14
24AFirst – last monthDec 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,238 of 2,314
Median peer was paid$185K
This provider vs. median0.8×
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 | 90 | $2K | |
| 2019 | 1,193 | $33K | |
| 2020 | 522 | $14K | |
| 2021 | 669 | $31K | |
| 2022 | 312 | $19K | |
| 2023 | 310 | $16K | |
| 2024incomplete | 697 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 40% | 509 | 274 | $59K |
| D9430 | 22% | 996 | 957 | $32K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 312 | 312 | $21K |
| D0330 | Panoramic radiographic image | 7.3% | 357 | 357 | $11K |
| D2751 | Crown - porcelain fused to predominantly base metal | 5.5% | 17 | 14 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 1,156 | 516 | $5K |
| D1110 | Prophylaxis - adult | 2.3% | 37 | 37 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.1% | 63 | 63 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 189 | 186 | $2K |
| D0274 | Bitewings - four radiographic images | 1.2% | 82 | 82 | $2K |
| D3221 | <1% | 14 | 14 | $882.00 | |
| D1206 | Topical application of fluoride varnish | <1% | 36 | 36 | $567.50 |
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.