Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › ROANOKE › YOUNG C. PARK, DDS., PC

YOUNG C. PARK, DDS., PC

NPI: 1578851002 · ROANOKE, VA 24019 · Dental Clinic/Center · NPI assigned 07/19/2011

$21K
Total Medicaid Paid
613
Total Claims
594
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialPARK, YOUNG (PRESIDENT)
NPI Enumeration Date07/19/2011

Related Entities

Other providers sharing the same authorized official: PARK, YOUNG

ProviderCityStateTotal Paid
YOUNG B PARK, DDS, PS EVERETT WA $574K
H & A HOSPICE INC. SIMI VALLEY CA $221K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 257 $10K
2019 163 $7K
2020 92 $2K
2021 101 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9310 155 155 $12K
D1110 Prophylaxis - adult 98 94 $4K
D0120 Periodic oral evaluation - established patient 148 134 $3K
D0220 Intraoral - periapical first radiographic image 175 174 $2K
D1206 Topical application of fluoride varnish 24 24 $498.96
D0270 13 13 $145.34