Dental
Won H Park DDS INC
Won H Park DDS INC was paid $455K by Medicaid between Jan 2018 and Sep 2023, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoWON H PARK DDS INC
TEMECULA, CA 92591
TEMECULA, CA 92591
33aNPI1588863526assigned 07/11/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$455K
24GClaims17,674
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#931 of 2,668
Median peer was paid$173K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2018 | 3,384 | $93K | |
| 2019 | 4,216 | $97K | |
| 2020 | 2,436 | $52K | |
| 2021 | 2,239 | $60K | |
| 2022 | 2,867 | $83K | |
| 2023 | 2,532 | $69K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 1,396 | 1,394 | $116K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,801 | 1,799 | $93K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 894 | 893 | $54K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 1,090 | 1,089 | $50K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 1,048 | 1,046 | $36K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.8% | 7,403 | 1,549 | $31K |
| D0274 | Bitewings - four radiographic images | 6.2% | 1,331 | 1,329 | $28K |
| D1206 | Topical application of fluoride varnish | 5.2% | 1,425 | 1,424 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 999 | 997 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.7% | 120 | 65 | $8K |
| D1351 | Sealant - per tooth | <1% | 119 | 39 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 28 | 16 | $2K |
1 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 20 | $1K |
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, WON (PRESIDENT)