Park, Sangtae

Park, Sangtae was paid $3K by Medicaid between May 2019 and Jul 2019, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 48% of everything it billed.

33Billing provider infoPARK, SANGTAE
WILLOWBROOK, IL 60527

33aNPI1841579901assigned 08/08/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims171

24DCodes billed6

24AFirst – last monthMay 2019 – Jul 2019

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#920 of 1,017

Median peer was paid$123K

This provider vs. median0.0×

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

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

Year	Claims	Paid
2019	171	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	48%	41	35	$1K
D1206	Topical application of fluoride varnish	16%	18	18	$468.00
D0150	Comprehensive oral evaluation - new or established patient	12%	17	17	$357.85
D0230	Intraoral - periapical each additional radiographic image	9.7%	41	34	$285.00
D0274	Bitewings - four radiographic images	7.5%	13	13	$219.70
D0220	Intraoral - periapical first radiographic image	6.7%	41	34	$196.00

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.