Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › HERNDON › SUN PARK DDS PC

SUN PARK DDS PC

NPI: 1699041897 · HERNDON, VA 20170 · Dental Clinic/Center · NPI assigned 04/02/2012

$30K
Total Medicaid Paid
1,362
Total Claims
1,339
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialPARK, SUN (PRESIDENT)
NPI Enumeration Date04/02/2012

Related Entities

Other providers sharing the same authorized official: PARK, SUN

ProviderCityStateTotal Paid
SUN PARK CHIROPRACTIC & WELLNESS LLC. FORT LEE NJ $162.48

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 388 $9K
2019 338 $8K
2020 221 $5K
2021 207 $5K
2022 97 $2K
2023 87 $1K
2024 24 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 572 561 $11K
D0120 Periodic oral evaluation - established patient 522 511 $10K
D1120 Prophylaxis - child 268 267 $9K