DR JACK PAI DDS INC
NPI: 1295310522
· TUSTIN, CA 92780
· Dental Clinic/Center
· NPI assigned 03/17/2021
Provider Details
| Authorized Official | PAI, JACK (OWNER) |
| NPI Enumeration Date | 03/17/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
137 |
$9K |
| 2024 |
1,386 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9430 |
|
363 |
285 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
134 |
134 |
$9K |
| D0350 |
|
702 |
144 |
$7K |
| D0210 |
Intraoral - complete series of radiographic images |
57 |
57 |
$3K |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
181 |
57 |
$733.05 |
| D1206 |
Topical application of fluoride varnish |
34 |
34 |
$531.50 |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$388.80 |