Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › DURANGO › TAYLOR M. CLARK, D.D.S., PROFESSIONAL LLC

TAYLOR M. CLARK, D.D.S., PROFESSIONAL LLC

NPI: 1225433170 · DURANGO, CO 81301 · Dental Clinic/Center · NPI assigned 11/04/2014

$110K
Total Medicaid Paid
3,044
Total Claims
3,005
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCLARK, TAYLOR (OWNER)
NPI Enumeration Date11/04/2014

Related Entities

Other providers sharing the same authorized official: CLARK, TAYLOR

ProviderCityStateTotal Paid
SAN JUAN DENTAL ANESTHESIA SERVICES, PROFESSIONAL LLC DURANGO CO $40K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 414 $15K
2019 273 $11K
2020 304 $11K
2021 503 $18K
2022 497 $18K
2023 511 $18K
2024 542 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,264 1,251 $63K
D0120 Periodic oral evaluation - established patient 1,268 1,251 $34K
D0274 Bitewings - four radiographic images 202 201 $7K
D0220 Intraoral - periapical first radiographic image 189 183 $2K
D0230 Intraoral - periapical each additional radiographic image 81 79 $2K
D1206 Topical application of fluoride varnish 40 40 $1K