Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

D SANGHO PARK DDS MPH DENTAL CORPORATION

NPI: 1134602469 · LA MESA, CA 91942 · Dentist · NPI assigned 09/12/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PARK, DAVID controls 20+ related entities in our dataset. Read more

$123K
Total Medicaid Paid
3,969
Total Claims
3,227
Beneficiaries
12
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPARK, DAVID (CEO)
NPI Enumeration Date09/12/2018

Related Entities

Other providers sharing the same authorized official: PARK, DAVID

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 346 $13K
2020 473 $12K
2021 1,487 $46K
2022 430 $6K
2023 312 $13K
2024 921 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 657 656 $43K
D0210 Intraoral - complete series of radiographic images 672 672 $32K
D9430 727 712 $23K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 64 30 $8K
D0230 Intraoral - periapical each additional radiographic image 1,352 665 $5K
D0330 Panoramic radiographic image 123 123 $4K
D1206 Topical application of fluoride varnish 203 203 $3K
D1120 Prophylaxis - child 53 53 $2K
D1110 Prophylaxis - adult 12 12 $1K
D0220 Intraoral - periapical first radiographic image 79 74 $948.00
D0120 Periodic oral evaluation - established patient 13 13 $915.00
D0274 Bitewings - four radiographic images 14 14 $172.80