CLD - RICHFIELD MN, LLC
NPI: 1932956919
· RICHFIELD, MN 55423
· Dental Clinic/Center
· NPI assigned 05/06/2024
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official PARK, DAVID controls 20+ related entities in our dataset. Read more
$503K
Total Medicaid Paid
Provider Details
| Authorized Official | PARK, DAVID (CEO/PRESIDENT/OWNER) |
| NPI Enumeration Date | 05/06/2024 |
Related Entities
Other providers sharing the same authorized official: PARK, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
7,962 |
$503K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2991 |
|
4,289 |
315 |
$350K |
| D0330 |
Panoramic radiographic image |
387 |
386 |
$31K |
| D1110 |
Prophylaxis - adult |
311 |
310 |
$21K |
| D0274 |
Bitewings - four radiographic images |
382 |
379 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
316 |
315 |
$15K |
| D1330 |
|
381 |
380 |
$14K |
| D1206 |
Topical application of fluoride varnish |
368 |
361 |
$12K |
| D0140 |
Limited oral evaluation - problem focused |
264 |
253 |
$11K |
| D7140 |
Extraction, erupted tooth or exposed root |
94 |
44 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
456 |
448 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
590 |
428 |
$8K |
| D1354 |
|
59 |
29 |
$2K |
| D1120 |
Prophylaxis - child |
36 |
36 |
$2K |
| D1310 |
|
29 |
29 |
$802.24 |