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CHARLES C. PARK D.D.S. A PROFESSIONAL CORPORATION
CHARLES C. PARK D.D.S. A PROFESSIONAL CORPORATION
NPI: 1962879387
· ORANGE, CA 92865
· General Practice Dentistry
· NPI assigned 09/02/2015
Provider Details
| Authorized Official | PARK, CHARLES (PRESIDENT) |
| NPI Enumeration Date | 09/02/2015 |
Related Entities
Other providers sharing the same authorized official: PARK, CHARLES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
630 |
$8K |
| 2019 |
974 |
$11K |
| 2020 |
535 |
$10K |
| 2021 |
150 |
$619.65 |
| 2023 |
13 |
$180.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
191 |
191 |
$12K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,641 |
387 |
$7K |
| D1120 |
Prophylaxis - child |
134 |
134 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
56 |
56 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
30 |
30 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
101 |
101 |
$931.25 |
| D0220 |
Intraoral - periapical first radiographic image |
77 |
76 |
$924.00 |
| D9430 |
|
15 |
15 |
$480.00 |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$442.80 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$106.00 |
| D1999 |
|
21 |
20 |
$34.50 |