Medicaid Provider Spending

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

DAVID S PARK DDS INC

NPI: 1346659562 · EL CENTRO, CA 92243 · Dentist · NPI assigned 08/13/2014

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

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

$223K
Total Medicaid Paid
4,577
Total Claims
3,779
Beneficiaries
16
Codes Billed
2019-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPARK, DAVID (OWNER)
NPI Enumeration Date08/13/2014

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 393 $11K
2020 131 $5K
2021 2,177 $100K
2022 782 $31K
2023 402 $15K
2024 692 $60K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 861 856 $55K
D0210 Intraoral - complete series of radiographic images 783 776 $37K
D2751 Crown - porcelain fused to predominantly base metal 62 42 $30K
D1110 Prophylaxis - adult 296 296 $25K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 288 187 $19K
D2391 Resin-based composite - one surface, posterior, primary or permanent 293 158 $16K
D9430 376 361 $12K
D4341 157 43 $11K
D1120 Prophylaxis - child 137 137 $4K
D1206 Topical application of fluoride varnish 308 308 $4K
D0120 Periodic oral evaluation - established patient 53 44 $4K
D0230 Intraoral - periapical each additional radiographic image 812 454 $4K
D0350 68 34 $566.40
D1208 Topical application of fluoride, excluding varnish 38 38 $512.00
D0272 Bitewings - two radiographic images 31 31 $369.00
D0274 Bitewings - four radiographic images 14 14 $302.40