Dental
Park, So Eun
Park, So Eun was paid $215K by Medicaid between Sep 2020 and Mar 2022, across 18 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 13% of everything it billed.
33Billing provider infoPARK, SO EUN
DAVENPORT, IA 52806
DAVENPORT, IA 52806
33aNPI1871071621assigned 08/03/2018
33bProvider typeDentist
28Total paid$215K
24GClaims10,448
24DCodes billed18
24AFirst – last monthSep 2020 – Mar 2022
Compared with peers
Next to other Dentist providers in Iowa
Rank by total paid#51 of 268
Median peer was paid$26K
This provider vs. median8.1×
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 | |
|---|---|---|---|
| 2020 | 2,643 | $59K | |
| 2021 | 7,005 | $145K | |
| 2022 | 800 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 13% | 566 | 341 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,030 | 962 | $28K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 674 | 656 | $27K |
| D1110 | Prophylaxis - adult | 11% | 561 | 543 | $23K |
| D0274 | Bitewings - four radiographic images | 8.1% | 1,112 | 1,042 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 291 | 218 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 7.3% | 626 | 608 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 696 | 656 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 267 | 198 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 1,810 | 1,667 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 1,624 | 1,432 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 261 | 242 | $5K |
6 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.0% | 67 | $4K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 267 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 86 | $780.20 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 12 | $658.35 |
| D0270 | <1% | 46 | $244.60 | |
| D1999 | 0% | 452 | $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.