Dental
David Sangho Park DDS INC
David Sangho Park DDS INC was paid $63K by Medicaid between Apr 2018 and Mar 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 31% of everything it billed.
33Billing provider infoDAVID SANGHO PARK DDS INC
RICHMOND, CA 94805
RICHMOND, CA 94805
33aNPI1891143780assigned 06/01/2016
33bProvider typeEndodontist
28Total paid$63K
24GClaims3,075
24DCodes billed14
24AFirst – last monthApr 2018 – Mar 2024
Compared with peers
Next to other Endodontist providers in California
Rank by total paid#43 of 68
Median peer was paid$116K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2018 | 31 | $410.00 | |
| 2019 | 78 | $481.13 | |
| 2020 | 515 | $8K | |
| 2021 | 1,099 | $20K | |
| 2022 | 718 | $19K | |
| 2023 | 600 | $14K | |
| 2024incomplete | 34 | $137.70 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 31% | 308 | 308 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 172 | 167 | $12K |
| D1110 | Prophylaxis - adult | 9.7% | 70 | 70 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.6% | 1,488 | 650 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 137 | 136 | $5K |
| D9430 | 6.9% | 135 | 134 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | 5.9% | 79 | 79 | $4K |
| D0274 | Bitewings - four radiographic images | 5.0% | 146 | 146 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.8% | 22 | 13 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 72 | 72 | $1K |
| D1206 | Topical application of fluoride varnish | 1.1% | 62 | 62 | $664.50 |
| D0270 | <1% | 39 | 39 | $195.00 |
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.
From NPPES
Who's on the registration
Authorized officialDE ARMON, BRANDI (REGIONAL MANAGER)
| Provider | Location | Paid |
|---|---|---|
| D S Park DDS MPH INC | Merced, CA | $59K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.