Park, Tae-Hoon

Park, Tae-Hoon was paid $72K by Medicaid between Jul 2023 and Sep 2024, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.

33Billing provider infoPARK, TAE-HOON
LEWISBURG, TN 37091

33aNPI1720271752assigned 08/22/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$72K

24GClaims2,074

24DCodes billed12

24AFirst – last monthJul 2023 – Sep 2024

Compared with peers

Next to other General Practice Dentistry providers in Tennessee

Rank by total paid#199 of 336

Median peer was paid$123K

This provider vs. median0.6×

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
2023	994	$38K
2024incomplete	1,080	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	31%	298	165	$22K
D1110	Prophylaxis - adult	16%	279	268	$11K
D0150	Comprehensive oral evaluation - new or established patient	11%	278	275	$8K
D0330	Panoramic radiographic image	8.7%	199	195	$6K
D0140	Limited oral evaluation - problem focused	7.1%	242	232	$5K
D1206	Topical application of fluoride varnish	6.2%	206	200	$4K
D0274	Bitewings - four radiographic images	4.9%	153	150	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.7%	62	39	$3K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	3.3%	29	16	$2K
D0220	Intraoral - periapical first radiographic image	3.3%	235	220	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.9%	65	58	$1K
D0210	Intraoral - complete series of radiographic images	1.7%	28	28	$1K

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.