Clinic
Yoeli Park, PLLC
Yoeli Park, PLLC was paid $106K by Medicaid between Apr 2024 and Dec 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.
33Billing provider infoYOELI PARK, PLLC
BOISE, ID 83709
BOISE, ID 83709
33aNPI1730669292assigned 08/15/2018
33bProvider typeDental Clinic/Center
28Total paid$106K
24GClaims3,893
24DCodes billed18
24AFirst – last monthApr 2024 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Idaho
Rank by total paid#13 of 39
Median peer was paid$56K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2024incomplete | 3,893 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 37% | 380 | 380 | $39K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 203 | 148 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 74 | 74 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 215 | 215 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 99 | 59 | $4K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 173 | 172 | $4K |
| D2331 | 2.9% | 50 | 28 | $3K | |
| D4341 | 2.6% | 33 | 15 | $3K | |
| D4910 | 2.3% | 28 | 28 | $2K | |
| D1354 | 1.9% | 790 | 91 | $2K | |
| D0274 | Bitewings - four radiographic images | 1.7% | 359 | 359 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 27 | 27 | $931.87 |
6 more codes
| D0330 | Panoramic radiographic image | <1% | 12 | $714.39 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 441 | $44.40 |
| D0120 | Dental checkup, returning patient | <1% | 299 | $32.22 |
| D1206 | Topical application of fluoride varnish | <1% | 124 | $14.84 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 504 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 82 | $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 officialHAMMER, JASON (OWNER/DOCTER)