CLD - COON RAPIDS MN, LLC · NPI 1366136269

CLD - COON RAPIDS MN, LLC

NPI: 1366136269 · COON RAPIDS, MN 55433 · Dental Clinic/Center · NPI assigned 06/05/2023

$1.52M

Total Medicaid Paid

26,094

Total Claims

17,027

Beneficiaries

Codes Billed

2023-09

First Month

2024-12

Last Month

Authorized Official	PARK, DAVID (CEO/OWNER)
NPI Enumeration Date	06/05/2023

Other providers sharing the same authorized official: PARK, DAVID

Provider	City	State	Total 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
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
D PARK SDS PC	LAS VEGAS	NV	$332K

Year	Claims	Total Paid
2023	5,900	$238K
2024	20,194	$1.28M

Code	Claims	Beneficiaries	Total Paid
D2991	5,909	857	$724K
D0330	1,658	1,552	$147K
D1110	1,208	1,149	$78K
D0150	1,535	1,461	$77K
D0140	1,585	1,443	$68K
D0274	1,522	1,439	$66K
D1354	1,682	196	$60K
D1330	1,922	1,831	$57K
D1206	1,452	1,388	$48K
D0230	3,297	1,893	$42K
D0220	2,205	2,068	$40K
D1120	712	687	$32K
D7140	254	94	$26K
D0120	308	300	$12K
D0272	278	267	$11K
D0240	234	118	$10K
D2392	84	64	$8K
D2391	49	31	$4K
D0350	113	113	$2K
D4355	27	26	$2K
D2150	19	12	$2K
D9110	29	26	$2K
D0145	12	12	$610.80