Dental
DR. Park Dental Office 1, LLC
DR. Park Dental Office 1, LLC was paid $5.26M by Medicaid between Dec 2022 and Dec 2024, across 36 billing codes. Its largest line is D2991, — 20% of everything it billed.
33Billing provider infoDR. PARK DENTAL OFFICE 1, LLC
SAINT PAUL, MN 55106
SAINT PAUL, MN 55106
33aNPI1508594664assigned 08/08/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$5.26M
24GClaims104,225
24DCodes billed36
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#18 of 368
Median peer was paid$19K
This provider vs. median276×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PARK, DAVID controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2022 | 1,187 | $42K | |
| 2023 | 48,572 | $2.05M | |
| 2024incomplete | 54,466 | $3.17M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2991 | 20% | 9,301 | 1,388 | $1.06M | |
| D1354 | 15% | 21,655 | 3,562 | $789K | |
| D7140 | Extraction, erupted tooth or exposed root | 7.0% | 3,374 | 1,294 | $370K |
| D0330 | Panoramic radiographic image | 7.0% | 4,433 | 4,223 | $368K |
| D1110 | Prophylaxis - adult | 6.2% | 4,972 | 4,859 | $327K |
| D0274 | Bitewings - four radiographic images | 4.8% | 6,052 | 5,816 | $252K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 3,033 | 1,670 | $239K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 2,330 | 1,475 | $235K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 5,566 | 5,150 | $195K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 3,649 | 3,559 | $169K |
| D1330 | 2.6% | 5,999 | 5,878 | $135K | |
| D1206 | Topical application of fluoride varnish | 2.5% | 3,902 | 3,814 | $131K |
24 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 12,200 | $130K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 7,959 | $130K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 869 | $107K |
| D0120 | Dental checkup, returning patient | 1.8% | 2,544 | $95K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.5% | 704 | $78K |
| D2331 | 1.3% | 568 | $66K | |
| D9110 | 1.1% | 1,269 | $58K | |
| D2332 | 1.1% | 377 | $56K | |
| D1120 | Dental cleaning, child | 1.0% | 1,129 | $53K |
| D2335 | <1% | 330 | $51K | |
| D2160 | <1% | 262 | $35K | |
| D2140 | <1% | 383 | $33K | |
| D2330 | <1% | 336 | $30K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 105 | $16K |
| D0240 | <1% | 241 | $10K | |
| D1310 | <1% | 317 | $9K | |
| D3320 | <1% | 13 | $7K | |
| D2394 | <1% | 42 | $6K | |
| D1351 | Sealant - per tooth | <1% | 130 | $5K |
| D2161 | <1% | 28 | $5K | |
| D1355 | <1% | 56 | $3K | |
| D7111 | <1% | 19 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 60 | $2K |
| D2940 | <1% | 18 | $992.56 |
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.
From NPPES
Who's on the registration
Authorized officialPARK, DAVID (CEO/PRESIDENT/OWNER)
| Provider | Location | Paid |
|---|---|---|
| RC Dental Group | Rancho Cordova, CA | $7.79M |
| 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 |
| D Park SDS PC | Las Vegas, NV | $332K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.