PAK DENTAL INC.
NPI: 1659745644
· DIAMOND BAR, CA 91789
· Dentist
· NPI assigned 11/14/2015
Provider Details
| Authorized Official | PAK, JONGSON (PRESIDENT) |
| NPI Enumeration Date | 11/14/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$2K |
| 2019 |
13 |
$390.00 |
| 2021 |
12 |
$792.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
28 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$576.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$390.00 |