Medicaid Provider Spending

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

DR D S PARK DENTAL INC

NPI: 1477196244 · DELANO, CA 93215 · Dentist · NPI assigned 10/23/2019

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

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

$522K
Total Medicaid Paid
23,532
Total Claims
14,181
Beneficiaries
22
Codes Billed
2020-04
First Month
2024-09
Last Month

Provider Details

Authorized OfficialPARK, DAVID (OWNER)
Parent OrganizationDR D S PARK DENTAL INC
NPI Enumeration Date10/23/2019

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,353 $95K
2021 6,182 $115K
2022 6,366 $157K
2023 4,596 $103K
2024 2,035 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 1,608 1,596 $105K
D0120 Periodic oral evaluation - established patient 1,301 1,285 $89K
D1120 Prophylaxis - child 1,729 1,711 $70K
D0230 Intraoral - periapical each additional radiographic image 10,786 2,338 $44K
D0210 Intraoral - complete series of radiographic images 773 767 $37K
D2391 Resin-based composite - one surface, posterior, primary or permanent 571 304 $31K
D1206 Topical application of fluoride varnish 2,164 2,148 $29K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 412 254 $27K
D9430 743 718 $24K
D0274 Bitewings - four radiographic images 1,046 1,034 $22K
D0220 Intraoral - periapical first radiographic image 1,166 1,127 $14K
D1110 Prophylaxis - adult 117 117 $10K
D2150 Silver amalgam - two surfaces, primary or permanent 100 56 $7K
D1351 Sealant - per tooth 164 47 $3K
D0272 Bitewings - two radiographic images 231 231 $3K
D0350 299 135 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 17 13 $1K
D9993 14 14 $910.00
D1208 Topical application of fluoride, excluding varnish 87 85 $855.00
D2140 15 13 $819.00
D1310 14 14 $644.00
D1330 175 174 $0.00