Clinic
Tracy Park D.D.S. a Professional Corporation
Tracy Park D.D.S. a Professional Corporation was paid $425K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D9430, — 16% of everything it billed.
33Billing provider infoTRACY PARK D.D.S. A PROFESSIONAL CORPORATION
CERES, CA 95307
CERES, CA 95307
33aNPI1710246798assigned 05/10/2012
33bProvider typeDental Clinic/Center
28Total paid$425K
24GClaims24,803
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#417 of 1,135
Median peer was paid$200K
This provider vs. median2.1×
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 | 4,719 | $66K | |
| 2019 | 4,234 | $63K | |
| 2020 | 3,093 | $46K | |
| 2021 | 3,439 | $49K | |
| 2022 | 2,987 | $41K | |
| 2023 | 3,605 | $82K | |
| 2024incomplete | 2,726 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9430 | 16% | 2,220 | 2,134 | $70K | |
| D0230 | Intraoral - periapical each additional radiographic image | 15% | 14,848 | 2,980 | $62K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,157 | 1,147 | $56K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 3,743 | 3,646 | $44K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 1,160 | 1,155 | $41K |
| D2751 | Crown - porcelain fused to predominantly base metal | 9.5% | 85 | 67 | $40K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.5% | 549 | 339 | $36K |
| D1110 | Prophylaxis - adult | 8.4% | 401 | 399 | $36K |
| D2160 | 6.5% | 350 | 234 | $28K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 171 | 171 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 82 | 81 | $648.00 |
| D0272 | Bitewings - two radiographic images | <1% | 13 | 13 | $156.00 |
1 more codes
| D1330 | 0% | 24 | $0.00 |
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, TRACY (DENTIST/OWNER)