Dental
Phillip S.H. Park Dds.,Inc.
Phillip S.H. Park Dds.,Inc. was paid $458K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.
33Billing provider infoPHILLIP S.H. PARK DDS.,INC.
PASADENA, CA 91101
PASADENA, CA 91101
33aNPI1750304192assigned 07/26/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$458K
24GClaims15,428
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#927 of 2,668
Median peer was paid$173K
This provider vs. median2.7×
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 | 3,590 | $84K | |
| 2019 | 3,230 | $81K | |
| 2020 | 1,615 | $46K | |
| 2021 | 2,018 | $54K | |
| 2022 | 2,136 | $78K | |
| 2023 | 1,600 | $66K | |
| 2024incomplete | 1,239 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 2,875 | 2,874 | $155K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 2,417 | 2,416 | $89K |
| D0230 | Intraoral - periapical each additional radiographic image | 16% | 3,555 | 3,448 | $73K |
| D1110 | Prophylaxis - adult | 13% | 707 | 707 | $60K |
| D0272 | Bitewings - two radiographic images | 5.9% | 2,290 | 2,289 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 1,977 | 1,976 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 1,111 | 1,031 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 2.3% | 232 | 232 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 131 | 131 | $8K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 30 | 14 | $2K |
| D0350 | <1% | 76 | 69 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 27 | 27 | $468.00 |
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, PHILLIP (PRESIDENT)