Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Wasco › NPI 1760025589
Dental

DR D S Park Dental INC

DR D S Park Dental INC was paid $792K by Medicaid between Mar 2020 and Oct 2024, across 24 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 28% of everything it billed.

33Billing provider infoDR D S PARK DENTAL INC
WASCO, CA 93280
33aNPI1760025589assigned 10/24/2019
33bProvider typeDentist
28Total paid$792K
24GClaims25,330
24DCodes billed24
24AFirst – last monthMar 2020 – Oct 2024
Compared with peers

Next to other Dentist providers in California

Rank by total paid#594 of 2,314
Median peer was paid$185K
This provider vs. median4.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PARK, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20203,722$81K
20215,943$166K
20225,964$206K
20235,843$206K
2024incomplete3,858$132K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 28% 1,863 784 $220K
D0150 Comprehensive oral evaluation - new or established patient 15% 1,767 1,758 $115K
D1120 Dental cleaning, childProphylaxis - child 9.8% 1,848 1,834 $78K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.7% 1,102 1,097 $77K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 6.8% 817 513 $54K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5.8% 870 463 $46K
D0230 Intraoral - periapical each additional radiographic image 5.5% 10,554 2,157 $44K
D0210 Intraoral - complete series of radiographic images 5.3% 889 888 $42K
D1206 Topical application of fluoride varnish 4.1% 2,263 2,246 $32K
D0274 Bitewings - four radiographic images 2.5% 956 950 $20K
D1110 Prophylaxis - adult 2.0% 179 179 $16K
D9430 1.8% 443 426 $14K
12 more codes
D0220 Intraoral - periapical first radiographic image 1.3% 879 $10K
D7230 1.2% 50 $9K
D0330 Panoramic radiographic image <1% 98 $3K
D1351 Sealant - per tooth <1% 74 $2K
D0272 Bitewings - two radiographic images <1% 178 $2K
D7140 Extraction, erupted tooth or exposed root <1% 35 $2K
D0350 <1% 190 $2K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 24 $2K
D9993 <1% 13 $845.00
D1208 Topical application of fluoride, excluding varnish <1% 83 $830.50
D1310 <1% 13 $598.00
D1330 0% 142 $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, DAVID (OWNER)
Parent organizationDR D S PARK DENTAL INC
Same official

Other billing entities under PARK, DAVID

Full network →
ProviderLocationPaid
RC Dental GroupRancho Cordova, CA$7.79M
DR. Park Dental Office 1, LLCSaint Paul, MN$5.26M
CLD - Brooklyn Park MN, LLCBrooklyn Park, MN$3.51M
Sangho Park DDS INC.Sacramento, CA$1.93M
Pro Dental GroupSacramento, CA$1.81M
D Park Professional Dental CorpSanta Ana, CA$1.71M
CLD - Coon Rapids MN, LLCCoon Rapids, MN$1.52M
D Park MPH DDS Dental CorporationStockton, CA$1.10M
D Park DDS INCModesto, CA$998K
David Park Dental Corp.North Highlands, CA$978K
Park DDS MPH INCGalt, CA$963K
Emergency Dental Professionals, LLCSaint Paul, MN$925K
D S Park Dental CorpPalmdale, CA$789K
David Park MPH DDS Professional CorporationLancaster, CA$707K
S Park DDS INCElk Grove, CA$557K
DR D S Park Dental INCDelano, CA$522K
CLD - Richfield MN, LLCRichfield, MN$503K
CLD - Rochester MN, LLCRochester, MN$445K
D.S Park DDS, INCMurrieta, CA$345K
D Park SDS PCLas Vegas, NV$332K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.