Dental
Taehoon Park DDS INC
Taehoon Park DDS INC was paid $41K by Medicaid between Jan 2018 and Mar 2018, across 16 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 21% of everything it billed.
33Billing provider infoTAEHOON PARK DDS INC
APPLE VALLEY, CA 92307
APPLE VALLEY, CA 92307
33aNPI1659752731assigned 06/15/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$41K
24GClaims1,831
24DCodes billed16
24AFirst – last monthJan 2018 – Mar 2018
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,847 of 2,668
Median peer was paid$173K
This provider vs. median0.2×
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 | 1,831 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 21% | 128 | 56 | $9K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 12% | 40 | 18 | $5K |
| D2160 | 12% | 59 | 37 | $5K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.0% | 106 | 106 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 8.6% | 89 | 89 | $4K |
| D2140 | 8.3% | 62 | 28 | $3K | |
| D1120 | Dental cleaning, childProphylaxis - child | 6.0% | 85 | 84 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.1% | 639 | 146 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.8% | 90 | 89 | $2K |
| D0350 | 3.5% | 209 | 83 | $1K | |
| D1110 | Prophylaxis - adult | 3.2% | 35 | 35 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 2.3% | 117 | 116 | $948.00 |
4 more codes
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, TAE-HOON (PRESIDENT)