Dental
Clark, Paul
Clark, Paul was paid $26K by Medicaid between Mar 2018 and Mar 2023, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 57% of everything it billed.
33Billing provider infoCLARK, PAUL
MANDEVILLE, LA 70471
MANDEVILLE, LA 70471
33aNPI1184872947assigned 09/05/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$26K
24GClaims779
24DCodes billed3
24AFirst – last monthMar 2018 – Mar 2023
Compared with peers
Next to other General Practice Dentistry providers in Louisiana
Rank by total paid#263 of 412
Median peer was paid$83K
This provider vs. median0.3×
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 | 123 | $4K | |
| 2019 | 227 | $8K | |
| 2020 | 115 | $4K | |
| 2021 | 241 | $8K | |
| 2022 | 60 | $2K | |
| 2023 | 13 | $298.41 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 57% | 342 | 315 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 409 | 383 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 28 | 13 | $844.14 |
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.