Dental
Cleburne Dental Studio PLLC
Cleburne Dental Studio PLLC was paid $170K by Medicaid between Nov 2020 and Dec 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoCLEBURNE DENTAL STUDIO PLLC
CLEBURNE, TX 76033
CLEBURNE, TX 76033
33aNPI1952824468assigned 07/18/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$170K
24GClaims8,241
24DCodes billed18
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#879 of 2,774
Median peer was paid$43K
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2020 | 345 | $5K | |
| 2021 | 770 | $16K | |
| 2022 | 3,454 | $79K | |
| 2023 | 1,855 | $41K | |
| 2024incomplete | 1,817 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 404 | 168 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 895 | 836 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 561 | 528 | $18K |
| D1110 | Prophylaxis - adult | 8.4% | 316 | 291 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 7.8% | 1,024 | 958 | $13K |
| D1351 | Sealant - per tooth | 7.7% | 562 | 87 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.0% | 1,241 | 748 | $12K |
| D0274 | Bitewings - four radiographic images | 6.1% | 340 | 316 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 6.1% | 950 | 869 | $10K |
| D0272 | Bitewings - two radiographic images | 3.3% | 266 | 241 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.7% | 39 | 14 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 55 | 15 | $4K |
6 more codes
| D0145 | Oral evaluation for a patient under three years of age | 2.2% | 26 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 49 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 67 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 15 | $494.48 |
| D0240 | <1% | 27 | $205.80 | |
| D0603 | <1% | 1,404 | $27.01 |
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 officialPARK, JIN (OWNER DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Jin H Park DDS INC | Riverside, CA | $711K |
| P & J Hospital, INC. | Bell, CA | $532K |
| Jin S Park DDS PC | Paramount, CA | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.