Dental
Jaein Park DDS INC
Jaein Park DDS INC was paid $353K by Medicaid between Oct 2021 and Dec 2024, across 18 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 18% of everything it billed.
33Billing provider infoJAEIN PARK DDS INC
REDLANDS, CA 92374
REDLANDS, CA 92374
33aNPI1285308841assigned 08/05/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$353K
24GClaims6,568
24DCodes billed18
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,032 of 2,668
Median peer was paid$173K
This provider vs. median2.0×
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 | 192 | $8K | |
| 2022 | 1,024 | $38K | |
| 2023 | 2,313 | $137K | |
| 2024incomplete | 3,039 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 18% | 137 | 103 | $65K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 693 | 689 | $45K |
| D9430 | 12% | 1,287 | 1,100 | $41K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 381 | 377 | $30K |
| D1110 | Prophylaxis - adult | 7.8% | 309 | 307 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.3% | 476 | 221 | $26K |
| D4910 | 7.2% | 339 | 338 | $25K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.5% | 294 | 163 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 330 | 330 | $17K |
| D2954 | 4.3% | 152 | 112 | $15K | |
| D0210 | Intraoral - complete series of radiographic images | 3.4% | 253 | 253 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 2.3% | 539 | 537 | $8K |
6 more codes
| D2330 | 1.9% | 82 | $7K | |
| D0274 | Bitewings - four radiographic images | 1.6% | 274 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 348 | $4K |
| D1351 | Sealant - per tooth | 1.1% | 102 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 556 | $2K |
| D0330 | Panoramic radiographic image | <1% | 16 | $480.00 |
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, JAEIN (C.E.O.)