Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DR D S PARK DENTAL INC

NPI: 1760025589 · WASCO, CA 93280 · Dentist · NPI assigned 10/24/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PARK, DAVID controls 20+ related entities in our dataset. Read more

$792K
Total Medicaid Paid
25,330
Total Claims
14,850
Beneficiaries
24
Codes Billed
2020-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPARK, DAVID (OWNER)
Parent OrganizationDR D S PARK DENTAL INC
NPI Enumeration Date10/24/2019

Related Entities

Other providers sharing the same authorized official: PARK, DAVID

ProviderCityStateTotal Paid
RC DENTAL GROUP RANCHO CORDOVA CA $7.79M
DR. PARK DENTAL OFFICE 1, LLC SAINT PAUL MN $5.26M
CLD - BROOKLYN PARK MN, LLC BROOKLYN PARK MN $3.51M
SANGHO PARK DDS INC. SACRAMENTO CA $1.93M
PRO DENTAL GROUP SACRAMENTO CA $1.81M
D PARK PROFESSIONAL DENTAL CORP SANTA ANA CA $1.71M
CLD - COON RAPIDS MN, LLC COON RAPIDS MN $1.52M
D PARK MPH DDS DENTAL CORPORATION STOCKTON CA $1.10M
D PARK DDS INC MODESTO CA $998K
DAVID PARK DENTAL CORP. NORTH HIGHLANDS CA $978K
PARK DDS MPH INC GALT CA $963K
EMERGENCY DENTAL PROFESSIONALS, LLC SAINT PAUL MN $925K
D S PARK DENTAL CORP PALMDALE CA $789K
DAVID PARK MPH DDS PROFESSIONAL CORPORATION LANCASTER CA $707K
S PARK DDS INC ELK GROVE CA $557K
DR D S PARK DENTAL INC DELANO CA $522K
CLD - RICHFIELD MN, LLC RICHFIELD MN $503K
CLD - ROCHESTER MN, LLC ROCHESTER MN $445K
D.S PARK DDS, INC MURRIETA CA $345K
D PARK SDS PC LAS VEGAS NV $332K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,722 $81K
2021 5,943 $166K
2022 5,964 $206K
2023 5,843 $206K
2024 3,858 $132K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1,863 784 $220K
D0150 Comprehensive oral evaluation - new or established patient 1,767 1,758 $115K
D1120 Prophylaxis - child 1,848 1,834 $78K
D0120 Periodic oral evaluation - established patient 1,102 1,097 $77K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 817 513 $54K
D2391 Resin-based composite - one surface, posterior, primary or permanent 870 463 $46K
D0230 Intraoral - periapical each additional radiographic image 10,554 2,157 $44K
D0210 Intraoral - complete series of radiographic images 889 888 $42K
D1206 Topical application of fluoride varnish 2,263 2,246 $32K
D0274 Bitewings - four radiographic images 956 950 $20K
D1110 Prophylaxis - adult 179 179 $16K
D9430 443 426 $14K
D0220 Intraoral - periapical first radiographic image 879 866 $10K
D7230 50 26 $9K
D0330 Panoramic radiographic image 98 97 $3K
D1351 Sealant - per tooth 74 26 $2K
D0272 Bitewings - two radiographic images 178 178 $2K
D7140 Extraction, erupted tooth or exposed root 35 12 $2K
D0350 190 87 $2K
D2150 Silver amalgam - two surfaces, primary or permanent 24 15 $2K
D9993 13 13 $845.00
D1208 Topical application of fluoride, excluding varnish 83 81 $830.50
D1310 13 13 $598.00
D1330 142 141 $0.00