Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Rancho Cordova › NPI 1942410501
Dental

Park, David

Park, David was paid $0.00 by Medicaid between Jan 2018 and Feb 2021, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 0% of everything it billed.

33Billing provider infoPARK, DAVID
RANCHO CORDOVA, CA 95670
33aNPI1942410501assigned 05/23/2007
28Total paid$0.00
24GClaims13,297
24DCodes billed22
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,619 of 2,668
Median peer was paid$173K
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
YearClaimsPaid
20184,900$0.00
20194,590$0.00
20203,621$0.00
2021186$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 0% 1,059 1,004 $0.00
D0270 0% 25 18 $0.00
D0220 Intraoral - periapical first radiographic image 0% 1,774 1,522 $0.00
D4341 0% 66 24 $0.00
D0274 Bitewings - four radiographic images 0% 310 279 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 0% 97 67 $0.00
D1110 Prophylaxis - adult 0% 98 83 $0.00
D9430 0% 769 633 $0.00
D1999 0% 226 185 $0.00
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 0% 390 158 $0.00
D9993 0% 99 88 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 1,614 1,227 $0.00
10 more codes
D1330 0% 2,130 $0.00
D0272 Bitewings - two radiographic images 0% 355 $0.00
D1206 Topical application of fluoride varnish 0% 1,335 $0.00
D0150 Comprehensive oral evaluation - new or established patient 0% 1,066 $0.00
D0120 Dental checkup, returning patient 0% 815 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 0% 56 $0.00
D0210 Intraoral - complete series of radiographic images 0% 634 $0.00
D0601 0% 39 $0.00
D1310 0% 98 $0.00
D1351 Sealant - per tooth 0% 242 $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.