Medicaid Provider Spending

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

DAVE C PAK DMD MD PA

NPI: 1043452923 · ROCHESTER, NH 03839 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 03/24/2009

$8K
Total Medicaid Paid
112
Total Claims
88
Beneficiaries
2
Codes Billed
2018-03
First Month
2018-12
Last Month

Provider Details

Authorized OfficialPAK, DAVE (DOCTOR/OWNER)
NPI Enumeration Date03/24/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 112 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 34 12 $4K
D0140 Limited oral evaluation - problem focused 78 76 $3K