Dental
Clark, Dale
Clark, Dale was paid $274K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoCLARK, DALE
RUSSELLVILLE, KY 42276
RUSSELLVILLE, KY 42276
33aNPI1144339177assigned 08/30/2006
33bProvider typeDentist
28Total paid$274K
24GClaims8,683
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Dentist providers in Kentucky
Rank by total paid#111 of 350
Median peer was paid$95K
This provider vs. median2.9×
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 | 1,342 | $28K | |
| 2019 | 1,110 | $25K | |
| 2020 | 1,121 | $28K | |
| 2021 | 1,502 | $50K | |
| 2022 | 1,375 | $53K | |
| 2023 | 1,475 | $59K | |
| 2024incomplete | 758 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 1,705 | 1,563 | $69K |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 1,486 | 1,351 | $64K |
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 2,503 | 2,238 | $57K |
| D0330 | Panoramic radiographic image | 9.9% | 690 | 632 | $27K |
| D0274 | Bitewings - four radiographic images | 8.7% | 869 | 818 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 630 | 598 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 492 | 466 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 91 | 70 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 54 | 41 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 86 | 65 | $975.31 |
| D1999 | 0% | 77 | 62 | $0.00 |
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.