Dental
Clark & Associate's Dentistry
Clark & Associate's Dentistry was paid $1.48M by Medicaid between Jan 2022 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.
33Billing provider infoCLARK & ASSOCIATE'S DENTISTRY
INDIANAPOLIS, IN 46227
INDIANAPOLIS, IN 46227
33aNPI1275293532assigned 12/28/2021
33bProvider typePediatric Dentist
28Total paid$1.48M
24GClaims46,296
24DCodes billed22
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#46 of 155
Median peer was paid$414K
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2022 | 12,009 | $311K | |
| 2023 | 18,986 | $600K | |
| 2024incomplete | 15,301 | $569K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 1,511 | 755 | $211K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 6,192 | 5,853 | $207K |
| D1351 | Sealant - per tooth | 13% | 7,323 | 1,360 | $195K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 7,386 | 6,929 | $161K |
| D1206 | Topical application of fluoride varnish | 9.6% | 6,588 | 6,329 | $142K |
| D1110 | Prophylaxis - adult | 7.0% | 2,437 | 2,249 | $104K |
| D0272 | Bitewings - two radiographic images | 5.3% | 3,583 | 3,347 | $78K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.8% | 2,548 | 2,082 | $71K |
| D0330 | Panoramic radiographic image | 4.0% | 1,131 | 1,046 | $59K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 553 | 325 | $46K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 1,022 | 955 | $35K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 727 | 494 | $34K |
10 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.2% | 545 | $32K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 1,889 | $32K |
| D1354 | 1.3% | 381 | $19K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 494 | $14K |
| D9920 | <1% | 310 | $12K | |
| D0274 | Bitewings - four radiographic images | <1% | 363 | $11K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 860 | $9K |
| D0240 | <1% | 330 | $6K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 91 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 32 | $931.36 |
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, HOLLY (PRESIDENT)