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 · 122300000X

$123K

Total Medicaid Paid

3,969

Total Claims

3,227

Beneficiaries

12

Codes Billed

2019-02

First Month

2024-12

Last Month

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		657	656	$43K
D0210		672	672	$32K
D9430		727	712	$23K
D7210		64	30	$8K
D0230		1,352	665	$5K
D0330		123	123	$4K
D1206		203	203	$3K
D1120		53	53	$2K
D1110		12	12	$1K
D0220		79	74	$948.00
D0120		13	13	$915.00
D0274		14	14	$172.80