Clinic
Travis Clark DDS LLC
Travis Clark DDS LLC was paid $1.08M by Medicaid between Sep 2020 and Dec 2024, across 28 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 20% of everything it billed.
33Billing provider infoTRAVIS CLARK DDS LLC
LEBANON, OH 45036
LEBANON, OH 45036
33aNPI1093329914assigned 09/08/2020
33bProvider typeDental Clinic/Center
28Total paid$1.08M
24GClaims23,897
24DCodes billed28
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Ohio
Rank by total paid#31 of 111
Median peer was paid$236K
This provider vs. median4.6×
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 | |
|---|---|---|---|
| 2020 | 1,346 | $44K | |
| 2021 | 5,762 | $186K | |
| 2022 | 5,990 | $187K | |
| 2023 | 4,907 | $151K | |
| 2024incomplete | 5,892 | $518K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 20% | 272 | 200 | $215K |
| D1110 | Prophylaxis - adult | 14% | 3,664 | 3,595 | $151K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 2,172 | 924 | $132K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 4,544 | 4,451 | $96K |
| D0210 | Intraoral - complete series of radiographic images | 6.5% | 1,139 | 1,106 | $71K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.9% | 985 | 605 | $53K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.3% | 507 | 296 | $47K |
| D0274 | Bitewings - four radiographic images | 4.1% | 1,844 | 1,815 | $45K |
| D2140 | 3.2% | 864 | 527 | $34K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 378 | 236 | $33K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 1,304 | 1,286 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 1,480 | 1,457 | $23K |
16 more codes
| D2160 | 2.1% | 358 | $23K | |
| D2331 | 2.1% | 280 | $23K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.1% | 192 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 875 | $23K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 842 | $21K |
| D1206 | Topical application of fluoride varnish | 1.0% | 424 | $11K |
| D2330 | <1% | 139 | $7K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,033 | $7K |
| D0330 | Panoramic radiographic image | <1% | 92 | $6K |
| D0350 | <1% | 128 | $3K | |
| D2335 | <1% | 32 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 101 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 171 | $1K |
| D2332 | <1% | 15 | $1K | |
| D1320 | <1% | 48 | $630.00 | |
| D0270 | <1% | 14 | $71.50 |
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 officialCLARK, TRAVIS (DENTIST)