Clark, Michael

Clark, Michael was paid $47K by Medicaid between Feb 2018 and Feb 2020, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.

33Billing provider infoCLARK, MICHAEL
PINE BLUFF, AR 71601

33aNPI1164432340assigned 08/09/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$47K

24GClaims1,823

24DCodes billed5

24AFirst – last monthFeb 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#180 of 401

Median peer was paid$36K

This provider vs. median1.3×

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	835	$21K
2019	689	$19K
2020	299	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	617	423	$15K
D1110	Prophylaxis - adult	30%	339	232	$14K
D0272	Bitewings - two radiographic images	19%	389	275	$9K
D1206	Topical application of fluoride varnish	17%	431	290	$8K
D1120	Dental cleaning, childProphylaxis - child	3.2%	47	32	$2K

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.