Clinic
Dave C Pak DMD MD PA
Dave C Pak DMD MD PA was paid $8K by Medicaid between Mar 2018 and Dec 2018, across 2 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 56% of everything it billed.
33Billing provider infoDAVE C PAK DMD MD PA
ROCHESTER, NH 03839
ROCHESTER, NH 03839
33aNPI1043452923assigned 03/24/2009
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$8K
24GClaims112
24DCodes billed2
24AFirst – last monthMar 2018 – Dec 2018
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 | |
|---|---|---|---|
| 2018 | 112 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 56% | 34 | 12 | $4K |
| D0140 | Limited oral evaluation - problem focused | 44% | 78 | 76 | $3K |
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 officialPAK, DAVE (DOCTOR/OWNER)