Pak, Luke

Pak, Luke was paid $61K by Medicaid between Jun 2018 and Oct 2018, across 12 billing codes. Its largest line is D9410, — 57% of everything it billed.

33Billing provider infoPAK, LUKE
COLORADO SPRINGS, CO 80924

33aNPI1568553105assigned 09/27/2006

33bProvider typeDentist

28Total paid$61K

24GClaims1,102

24DCodes billed12

24AFirst – last monthJun 2018 – Oct 2018

Compared with peers

Next to other Dentist providers in Colorado

Rank by total paid#159 of 344

Median peer was paid$45K

This provider vs. median1.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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	1,102	$61K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9410		57%	371	365	$35K
D0350		8.9%	180	180	$5K
D0230	Intraoral - periapical each additional radiographic image	7.9%	95	91	$5K
D1110	Prophylaxis - adult	7.1%	109	109	$4K
D0150	Comprehensive oral evaluation - new or established patient	5.0%	82	82	$3K
D0210	Intraoral - complete series of radiographic images	3.8%	46	46	$2K
D5730		3.4%	13	13	$2K
D9310		3.3%	52	52	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.3%	37	37	$801.42
D0220	Intraoral - periapical first radiographic image	1.1%	57	56	$669.76
D1208	Topical application of fluoride, excluding varnish	<1%	48	48	$533.48
D0170		<1%	12	12	$360.72

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.