Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WOODBURY DENTAL PARTNERS

NPI: 1003360793 · WOODBURY, TN 37190 · Dentist · NPI assigned 08/10/2016

$61K
Total Medicaid Paid
2,333
Total Claims
2,214
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialCLARK, CHRISTOPHER (DENTIST)
NPI Enumeration Date08/10/2016

Related Entities

Other providers sharing the same authorized official: CLARK, CHRISTOPHER

ProviderCityStateTotal Paid
SAINT VINCENT HEALTH CENTER ERIE PA $18.19M
CHRISTOPHER CLARK, DDS, II, PLLC GREENSBORO NC $1.90M
DR. CHRISTOPHER J CLARK DDS AND ASSOCIATES LELAND NC $1.55M
CHRISTOPHER CLARK DDS PA BLADENBORO NC $983K
PREMIERE SPINE AND SPORTS MEDICINE LLC HAGERSTOWN MD $291K
WELLNESS ASSOCIATES, LLC ROCK SPRINGS WY $54K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 936 $25K
2019 1,183 $32K
2020 214 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 754 730 $14K
D0120 Periodic oral evaluation - established patient 609 590 $14K
D1120 Prophylaxis - child 366 353 $12K
D1110 Prophylaxis - adult 258 251 $10K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 85 40 $5K
D0274 Bitewings - four radiographic images 130 124 $3K
D0330 Panoramic radiographic image 40 38 $1K
D0272 Bitewings - two radiographic images 50 48 $870.91
D0150 Comprehensive oral evaluation - new or established patient 29 28 $731.25
D0220 Intraoral - periapical first radiographic image 12 12 $152.16