Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRO DENTAL GROUP

NPI: 1699925453 · SACRAMENTO, CA 95816 · Dentist · NPI assigned 09/29/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PARK, DAVID controls 20+ related entities in our dataset. Read more

$1.81M
Total Medicaid Paid
10,147
Total Claims
9,500
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPARK, DAVID (OWNER/ PRESIDENT)
NPI Enumeration Date09/29/2008

Related Entities

Other providers sharing the same authorized official: PARK, DAVID

ProviderCityStateTotal 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
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
D PARK SDS PC LAS VEGAS NV $332K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,256 $220K
2019 1,225 $158K
2020 1,104 $251K
2021 1,294 $261K
2022 1,617 $299K
2023 1,169 $280K
2024 2,482 $342K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D3330 Endodontic therapy, molar tooth (excluding final restoration) 2,012 1,843 $1.45M
D0150 Comprehensive oral evaluation - new or established patient 2,108 2,069 $132K
D3320 189 173 $109K
D0120 Periodic oral evaluation - established patient 1,076 1,047 $31K
D1120 Prophylaxis - child 985 952 $25K
D1208 Topical application of fluoride, excluding varnish 603 596 $15K
D0220 Intraoral - periapical first radiographic image 1,032 1,017 $11K
D9310 219 217 $10K
D1206 Topical application of fluoride varnish 481 458 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 173 86 $6K
D0230 Intraoral - periapical each additional radiographic image 685 495 $4K
D0270 251 251 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 83 51 $2K
D0272 Bitewings - two radiographic images 122 120 $1K
D0210 Intraoral - complete series of radiographic images 26 26 $1K
D9999 Unspecified adjunctive procedure, by report 12 12 $1K
D0999 Unspecified diagnostic procedure, by report 16 16 $960.00
D0274 Bitewings - four radiographic images 14 12 $54.00
D1330 47 46 $0.00
D0140 Limited oral evaluation - problem focused 13 13 $0.00