W. Clark Higgs, D.D.S.

W. Clark Higgs, D.D.S. was paid $35K by Medicaid between Jan 2018 and Mar 2018, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.

33Billing provider infoW. CLARK HIGGS, D.D.S.
MADISON, TN 37115

33aNPI1073774360assigned 06/19/2008

33bProvider typePediatric Dentist

28Total paid$35K

24GClaims1,421

24DCodes billed8

24AFirst – last monthJan 2018 – Mar 2018

Compared with peers

Next to other Pediatric Dentist providers in Tennessee

Rank by total paid#93 of 112

Median peer was paid$1.03M

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	1,421	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	24%	267	267	$9K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	342	342	$8K
D1208	Topical application of fluoride, excluding varnish	17%	304	304	$6K
D0272	Bitewings - two radiographic images	14%	280	280	$5K
D1110	Prophylaxis - adult	13%	106	106	$4K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	6.0%	73	67	$2K
D0150	Comprehensive oral evaluation - new or established patient	2.8%	36	36	$994.50
D0140	Limited oral evaluation - problem focused	<1%	13	13	$317.20

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 officialHIGGS, WILSON (OWNER)