PAK, LUKE
NPI: 1568553105
· COLORADO SPRINGS, CO 80924
· Dentist
· NPI assigned 09/27/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,102 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D9410 |
|
371 |
365 |
$35K |
| D0350 |
|
180 |
180 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
95 |
91 |
$5K |
| D1110 |
Prophylaxis - adult |
109 |
109 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
82 |
82 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
46 |
46 |
$2K |
| D5730 |
|
13 |
13 |
$2K |
| D9310 |
|
52 |
52 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
37 |
37 |
$801.42 |
| D0220 |
Intraoral - periapical first radiographic image |
57 |
56 |
$669.76 |
| D1208 |
Topical application of fluoride, excluding varnish |
48 |
48 |
$533.48 |
| D0170 |
|
12 |
12 |
$360.72 |