PHILLIP S.H. PARK DDS.,INC.
NPI: 1750304192
· PASADENA, CA 91101
· 1223G0001X
$458K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,590 |
$84K |
| 2019 |
3,230 |
$81K |
| 2020 |
1,615 |
$46K |
| 2021 |
2,018 |
$54K |
| 2022 |
2,136 |
$78K |
| 2023 |
1,600 |
$66K |
| 2024 |
1,239 |
$50K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
2,875 |
2,874 |
$155K |
| D1120 |
|
2,417 |
2,416 |
$89K |
| D0230 |
|
3,555 |
3,448 |
$73K |
| D1110 |
|
707 |
707 |
$60K |
| D0272 |
|
2,290 |
2,289 |
$27K |
| D1208 |
|
1,977 |
1,976 |
$20K |
| D0220 |
|
1,111 |
1,031 |
$13K |
| D0210 |
|
232 |
232 |
$10K |
| D0150 |
|
131 |
131 |
$8K |
| D2150 |
|
30 |
14 |
$2K |
| D0350 |
|
76 |
69 |
$1K |
| D1206 |
|
27 |
27 |
$468.00 |