Medicaid Provider Spending

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

D SANGHO PARK DDS INC

NPI: 1801338868 · SUN VALLEY, CA 91352 · Dentist · NPI assigned 11/08/2016

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

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

$329K
Total Medicaid Paid
13,841
Total Claims
11,158
Beneficiaries
18
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPARK, DAVID (OWNER)
NPI Enumeration Date11/08/2016

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
DR D S PARK DENTAL INC WASCO CA $792K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 247 $6K
2020 869 $20K
2021 4,251 $75K
2022 3,151 $73K
2023 4,024 $110K
2024 1,299 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9430 2,244 2,120 $63K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 555 242 $59K
D1110 Prophylaxis - adult 643 642 $45K
D0150 Comprehensive oral evaluation - new or established patient 815 799 $40K
D4341 443 132 $24K
D0210 Intraoral - complete series of radiographic images 588 579 $17K
D1206 Topical application of fluoride varnish 1,184 1,174 $15K
D0120 Periodic oral evaluation - established patient 410 404 $14K
D0330 Panoramic radiographic image 448 448 $13K
D0230 Intraoral - periapical each additional radiographic image 3,437 1,858 $12K
D0220 Intraoral - periapical first radiographic image 1,159 987 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 124 87 $7K
D0274 Bitewings - four radiographic images 411 403 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 107 65 $4K
D1120 Prophylaxis - child 219 215 $4K
D9999 Unspecified adjunctive procedure, by report 12 12 $2K
D0270 12 12 $25.00
D1330 1,030 979 $0.00