Dental
Pak Dental INC.
Pak Dental INC. was paid $3K by Medicaid between Aug 2018 and Mar 2021, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 66% of everything it billed.
33Billing provider infoPAK DENTAL INC.
DIAMOND BAR, CA 91789
DIAMOND BAR, CA 91789
33aNPI1659745644assigned 11/14/2015
33bProvider typeDentist
28Total paid$3K
24GClaims53
24DCodes billed3
24AFirst – last monthAug 2018 – Mar 2021
Compared with peers
Next to other Dentist providers in California
Rank by total paid#2,073 of 2,314
Median peer was paid$185K
This provider vs. median0.0×
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 | 28 | $2K | |
| 2019 | 13 | $390.00 | |
| 2021 | 12 | $792.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 66% | 28 | 28 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 20% | 12 | 12 | $576.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 13 | 13 | $390.00 |
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.
From NPPES
Who's on the registration
Authorized officialPAK, JONGSON (PRESIDENT)