Medicaid Provider Spending

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

PAK, MARTIN

NPI: 1073868402 · FRISCO, TX 75035 · General Practice Dentistry · NPI assigned 07/23/2012

$2K
Total Medicaid Paid
236
Total Claims
201
Beneficiaries
5
Codes Billed
2021-03
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 125 $963.34
2022 30 $147.00
2023 81 $922.61

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 30 26 $721.25
D1208 Topical application of fluoride, excluding varnish 63 53 $720.30
D0220 Intraoral - periapical first radiographic image 31 27 $315.16
D0230 Intraoral - periapical each additional radiographic image 39 27 $276.24
D0603 73 68 $0.00