Dental
Park, Jenny
Park, Jenny was paid $209K by Medicaid between Jun 2020 and Nov 2021, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 25% of everything it billed.
33Billing provider infoPARK, JENNY
LANCASTER, PA 17601
LANCASTER, PA 17601
33aNPI1407296965assigned 06/28/2013
33bProvider typeDentist
28Total paid$209K
24GClaims4,812
24DCodes billed22
24AFirst – last monthJun 2020 – Nov 2021
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#118 of 683
Median peer was paid$34K
This provider vs. median6.1×
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 | |
|---|---|---|---|
| 2020 | 666 | $31K | |
| 2021 | 4,146 | $178K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 25% | 485 | 276 | $53K |
| D1110 | Prophylaxis - adult | 17% | 630 | 625 | $36K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 252 | 183 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 665 | 662 | $20K |
| D0330 | Panoramic radiographic image | 6.9% | 226 | 226 | $14K |
| D0274 | Bitewings - four radiographic images | 6.2% | 328 | 325 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 175 | 174 | $9K |
| D1206 | Topical application of fluoride varnish | 3.6% | 451 | 448 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.4% | 61 | 44 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 154 | 154 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 377 | 372 | $5K |
| D0270 | 1.6% | 230 | 229 | $3K |
10 more codes
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 42 | $3K |
| D9110 | 1.2% | 72 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 119 | $2K |
| D1330 | <1% | 323 | $1K | |
| D0603 | <1% | 126 | $890.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 12 | $504.00 |
| D0272 | Bitewings - two radiographic images | <1% | 13 | $352.00 |
| D0602 | <1% | 30 | $215.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 12 | $162.00 |
| D1999 | 0% | 29 | $0.00 |
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.