Dental Park of San Juan PLLC

Dental Park of San Juan PLLC was paid $11K by Medicaid between Jul 2021 and Oct 2021, across 9 billing codes. Its largest line is D1351, Sealant - per tooth — 42% of everything it billed.

33Billing provider infoDENTAL PARK OF SAN JUAN PLLC
SAN JUAN, TX 78589

33aNPI1558969790assigned 10/10/2020

33bProvider typeDentist

28Total paid$11K

24GClaims705

24DCodes billed9

24AFirst – last monthJul 2021 – Oct 2021

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#1,065 of 1,678

Median peer was paid$35K

This provider vs. median0.3×

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
2021	705	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1351	Sealant - per tooth	42%	185	35	$5K
D0150	Comprehensive oral evaluation - new or established patient	19%	74	73	$2K
D0230	Intraoral - periapical each additional radiographic image	11%	149	57	$1K
D1120	Dental cleaning, childProphylaxis - child	10%	37	37	$1K
D1208	Topical application of fluoride, excluding varnish	7.6%	62	61	$852.60
D0220	Intraoral - periapical first radiographic image	4.8%	59	58	$536.30
D0330	Panoramic radiographic image	3.0%	33	32	$335.00
D0272	Bitewings - two radiographic images	1.5%	13	13	$163.66
D0603		0%	93	90	$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.

From NPPES

Who's on the registration

Authorized officialPARK, CHAN (OWNER)