Clinic
Timothy C Park DDS, INC
Timothy C Park DDS, INC was paid $136K by Medicaid between Feb 2021 and Nov 2024, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 31% of everything it billed.
33Billing provider infoTIMOTHY C PARK DDS, INC
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1255935771assigned 11/25/2020
33bProvider typeDental Clinic/Center
28Total paid$136K
24GClaims2,483
24DCodes billed13
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#636 of 1,135
Median peer was paid$200K
This provider vs. median0.7×
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 | 731 | $35K | |
| 2022 | 639 | $30K | |
| 2023 | 523 | $42K | |
| 2024incomplete | 590 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 31% | 645 | 641 | $42K |
| D0210 | Intraoral - complete series of radiographic images | 17% | 516 | 512 | $24K |
| D1110 | Prophylaxis - adult | 17% | 289 | 286 | $24K |
| D2751 | Crown - porcelain fused to predominantly base metal | 16% | 46 | 25 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 410 | 407 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 78 | 38 | $5K |
| D9430 | 3.4% | 146 | 131 | $5K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.3% | 31 | 12 | $3K |
| D0350 | 1.4% | 117 | 77 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 34 | 12 | $2K |
| D1320 | 1.2% | 101 | 100 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 58 | 57 | $1K |
1 more codes
| D1206 | Topical application of fluoride varnish | <1% | 12 | $158.00 |
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, TIMOTHY (HEAD DOCTOR)
| Provider | Location | Paid |
|---|---|---|
| Patient Centered Psychiatry, INC | Ventura, CA | $423.08 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.