Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JIN S PARK DDS PC

NPI: 1982733770 · PARAMOUNT, CA 90723 · General Practice Dentistry · NPI assigned 03/05/2007

$15K
Total Medicaid Paid
1,560
Total Claims
1,139
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialPARK, JIN (CEO)
NPI Enumeration Date03/05/2007

Related Entities

Other providers sharing the same authorized official: PARK, JIN

ProviderCityStateTotal Paid
JIN H PARK DDS INC RIVERSIDE CA $711K
P & J HOSPITAL, INC. BELL CA $532K
CLEBURNE DENTAL STUDIO PLLC CLEBURNE TX $170K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 420 $2K
2019 483 $5K
2020 198 $1K
2021 122 $1K
2022 259 $4K
2023 36 $428.15
2024 42 $452.45

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 429 426 $5K
D0230 Intraoral - periapical each additional radiographic image 933 515 $4K
D1110 Prophylaxis - adult 40 40 $3K
D1120 Prophylaxis - child 58 58 $2K
D0272 Bitewings - two radiographic images 87 87 $1K
D0274 Bitewings - four radiographic images 13 13 $280.80