Clinic
Sung Wook Park DDS INC.
Sung Wook Park DDS INC. was paid $37K by Medicaid between Apr 2021 and Oct 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 39% of everything it billed.
33Billing provider infoSUNG WOOK PARK DDS INC.
LA MIRADA, CA 90638
LA MIRADA, CA 90638
33aNPI1184233538assigned 07/30/2020
33bProvider typeDental Clinic/Center
28Total paid$37K
24GClaims1,818
24DCodes billed14
24AFirst – last monthApr 2021 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#825 of 1,135
Median peer was paid$200K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 348 | $9K | |
| 2022 | 760 | $14K | |
| 2023 | 351 | $7K | |
| 2024incomplete | 359 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 39% | 220 | 220 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 54 | 54 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 9.5% | 259 | 257 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.0% | 827 | 374 | $3K |
| D4910 | 6.4% | 31 | 31 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | 6.3% | 49 | 49 | $2K |
| D1110 | Prophylaxis - adult | 5.2% | 25 | 25 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 122 | 107 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 25 | 25 | $1K |
| D0350 | 2.6% | 103 | 27 | $960.00 | |
| D0274 | Bitewings - four radiographic images | 2.1% | 41 | 41 | $799.20 |
| D1320 | 1.7% | 37 | 37 | $647.50 |
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, SUNG WOOK (CEO)