Clark, Bradley

Clark, Bradley was paid $3K by Medicaid between May 2018 and Oct 2020, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 59% of everything it billed.

33Billing provider infoCLARK, BRADLEY
BROKEN BOW, NE 68822

33aNPI1114052966assigned 02/22/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims147

24DCodes billed3

24AFirst – last monthMay 2018 – Oct 2020

Compared with peers

Next to other General Practice Dentistry providers in Nebraska

Rank by total paid#141 of 201

Median peer was paid$21K

This provider vs. median0.2×

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	59	$1K
2019	75	$2K
2020	13	$274.68

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	59%	88	88	$2K
D1206	Topical application of fluoride varnish	29%	43	43	$941.80
D1120	Dental cleaning, childProphylaxis - child	13%	16	16	$416.00

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.