Clinic
Taylor M. Clark, D.D.S., Professional LLC
Taylor M. Clark, D.D.S., Professional LLC was paid $110K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 58% of everything it billed.
33Billing provider infoTAYLOR M. CLARK, D.D.S., PROFESSIONAL LLC
DURANGO, CO 81301
DURANGO, CO 81301
33aNPI1225433170assigned 11/04/2014
33bProvider typeDental Clinic/Center
28Total paid$110K
24GClaims3,044
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Colorado
Rank by total paid#107 of 193
Median peer was paid$180K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2018 | 414 | $15K | |
| 2019 | 273 | $11K | |
| 2020 | 304 | $11K | |
| 2021 | 503 | $18K | |
| 2022 | 497 | $18K | |
| 2023 | 511 | $18K | |
| 2024incomplete | 542 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 58% | 1,264 | 1,251 | $63K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 1,268 | 1,251 | $34K |
| D0274 | Bitewings - four radiographic images | 6.0% | 202 | 201 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 189 | 183 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 81 | 79 | $2K |
| D1206 | Topical application of fluoride varnish | 1.1% | 40 | 40 | $1K |
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, TAYLOR (OWNER)
| Provider | Location | Paid |
|---|---|---|
| San Juan Dental Anesthesia Services, Professional LLC | Durango, CO | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.