Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IA › Eldridge › NPI 1821510314
Dental

Park, So Young

Park, So Young was paid $79K by Medicaid between Jan 2018 and Dec 2020, across 15 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 31% of everything it billed.

33Billing provider infoPARK, SO YOUNG
ELDRIDGE, IA 52748
33aNPI1821510314assigned 07/17/2017
28Total paid$79K
24GClaims2,074
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#122 of 437
Median peer was paid$22K
This provider vs. median3.6×

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

$0$10K$20K2018201920202021202220232024
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
2018995$48K
20201,079$32K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2740 Crown - porcelain/ceramic 31% 61 42 $25K
D1120 Dental cleaning, childProphylaxis - child 17% 352 299 $14K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 15% 528 460 $12K
D1206 Topical application of fluoride varnish 12% 495 429 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 6.7% 95 50 $5K
D1110 Prophylaxis - adult 4.9% 133 119 $4K
D4910 3.9% 55 54 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.5% 71 45 $3K
D0274 Bitewings - four radiographic images 2.2% 98 84 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.3% 18 12 $992.40
D0220 Intraoral - periapical first radiographic image <1% 84 69 $648.51
D0140 Limited oral evaluation - problem focused <1% 28 25 $601.18
3 more codes
D0272 Bitewings - two radiographic images <1% 23 $216.20
D0230 Intraoral - periapical each additional radiographic image <1% 20 $91.20
D1999 0% 13 $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.