NPI: 1609450006 · TRACY, CA 95304 · General Practice Dentistry · NPI assigned 05/11/2021
Authorized official PARK, DAVID controls 20+ related entities in our dataset. Read more
| Authorized Official | PARK, DAVID (DDS/CEO) |
| Parent Organization | D PARK MPH DDS DENTAL CORPORATION |
| NPI Enumeration Date | 05/11/2021 |
Other providers sharing the same authorized official: PARK, DAVID
| Provider | City | State | Total 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 |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,423 | $40K |
| 2022 | 3,382 | $64K |
| 2023 | 1,004 | $22K |
| 2024 | 209 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 439 | 439 | $29K |
| D1120 | Prophylaxis - child | 479 | 474 | $22K |
| D0120 | Periodic oral evaluation - established patient | 232 | 230 | $18K |
| D1206 | Topical application of fluoride varnish | 670 | 666 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 133 | 84 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 184 | 184 | $9K |
| D0350 | 936 | 253 | $8K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1,743 | 643 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 47 | 25 | $6K |
| D1351 | Sealant - per tooth | 113 | 26 | $4K |
| D9430 | 126 | 119 | $4K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 18 | 12 | $1K |
| D0330 | Panoramic radiographic image | 46 | 46 | $1K |
| D0274 | Bitewings - four radiographic images | 65 | 65 | $1K |
| D1110 | Prophylaxis - adult | 12 | 12 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 57 | 56 | $684.00 |
| D1208 | Topical application of fluoride, excluding varnish | 14 | 14 | $126.00 |
| D1330 | 704 | 701 | $0.00 |