Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Park, Sunjoo

Park, Sunjoo was paid $171K by Medicaid between Jan 2018 and Mar 2020, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 14% of everything it billed.

33Billing provider infoPARK, SUNJOO
LAFAYETTE, CO 80026
33aNPI1467801258assigned 06/13/2016
28Total paid$171K
24GClaims11,953
24DCodes billed15
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other General Practice Dentistry providers in Colorado

Rank by total paid#184 of 521
Median peer was paid$53K
This provider vs. median3.2×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20185,797$89K
20195,432$73K
2020724$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 14% 916 870 $23K
D0274 Bitewings - four radiographic images 11% 1,132 1,080 $18K
D7140 Extraction, erupted tooth or exposed root 10% 474 229 $18K
D1120 Dental cleaning, childProphylaxis - child 10% 820 789 $18K
D0150 Comprehensive oral evaluation - new or established patient 9.9% 858 825 $17K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.8% 1,162 1,106 $17K
D1206 Topical application of fluoride varnish 8.4% 1,224 1,174 $14K
D0220 Intraoral - periapical first radiographic image 7.8% 1,846 1,751 $13K
D0230 Intraoral - periapical each additional radiographic image 6.2% 2,358 1,541 $11K
D0272 Bitewings - two radiographic images 4.0% 545 525 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.9% 97 68 $5K
D1351 Sealant - per tooth 2.4% 236 54 $4K
3 more codes
D0140 Limited oral evaluation - problem focused 2.0% 188 $3K
D0330 Panoramic radiographic image 1.4% 76 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 21 $903.33

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.