Seon Gyeong Park, DDS
NPI 1669097614ActiveIndividual· Dentist· Cumming, GA
Dentist (DDS) in Cumming, Georgia, licensed in GA and IL, with an NPI issued in June 2020. Part D covered 373 prescriptions written in 2024, 97% of them generic. Zimvie Inc. was the largest of 3 companies reporting payments in 2024, $188.58 in all, mostly education.
Overview
| NPI | 1669097614 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jun 15, 2020 |
| Last updated in NPPES | Mar 7, 2022 |
| Certified by provider | Feb 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DN122296 | GA |
| Dentist | 122300000X | 019032684 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 373 · 380 30-day fills |
|---|---|
| Patients | 99 |
| Total drug cost | $1,635 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
- 2024$188.58 · 5 payments from 3 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Zimvie Inc. | $150.00 | 3 |
| Geistlich Pharma, North America, Inc. | $20.12 | 1 |
| Biohorizons Implant Systems Inc. | $18.46 | 1 |
What the 2024 payments were for
- Education$150.00 · 3 payments
- Food and Beverage$38.58 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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