CLD - ROCHESTER MN, LLC
NPI: 1821838384
· ROCHESTER, MN 55901
· Dental Clinic/Center
· NPI assigned 05/30/2024
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official PARK, DAVID controls 20+ related entities in our dataset. Read more
$445K
Total Medicaid Paid
Provider Details
| Authorized Official | PARK, DAVID (CEO/PRESIDENT/OWNER) |
| NPI Enumeration Date | 05/30/2024 |
Related Entities
Other providers sharing the same authorized official: PARK, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
8,398 |
$445K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2991 |
|
3,766 |
339 |
$250K |
| D0330 |
Panoramic radiographic image |
465 |
465 |
$40K |
| D0274 |
Bitewings - four radiographic images |
435 |
435 |
$20K |
| D1110 |
Prophylaxis - adult |
286 |
286 |
$20K |
| D7140 |
Extraction, erupted tooth or exposed root |
132 |
46 |
$15K |
| D0140 |
Limited oral evaluation - problem focused |
321 |
315 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
298 |
298 |
$14K |
| D1206 |
Topical application of fluoride varnish |
368 |
366 |
$13K |
| D1330 |
|
326 |
326 |
$12K |
| D0230 |
Intraoral - periapical each additional radiographic image |
859 |
480 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
503 |
499 |
$10K |
| D1354 |
|
230 |
84 |
$9K |
| D1310 |
|
162 |
162 |
$5K |
| D1355 |
|
83 |
40 |
$4K |
| D1351 |
Sealant - per tooth |
80 |
13 |
$3K |
| D1120 |
Prophylaxis - child |
36 |
36 |
$2K |
| D1320 |
|
19 |
19 |
$1K |
| D4355 |
|
15 |
15 |
$1K |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$512.25 |