Dental
Clark, Evelyn
Clark, Evelyn was paid $260K by Medicaid between Jan 2018 and Mar 2020, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoCLARK, EVELYN
KANSAS CITY, MO 64131
KANSAS CITY, MO 64131
33aNPI1316063662assigned 03/21/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$260K
24GClaims13,002
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#68 of 260
Median peer was paid$78K
This provider vs. median3.3×
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 | 6,403 | $138K | |
| 2019 | 6,123 | $115K | |
| 2020 | 476 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 720 | 390 | $44K |
| D1351 | Sealant - per tooth | 14% | 2,144 | 635 | $37K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,804 | 1,748 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 820 | 788 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 538 | 319 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 1,155 | 1,128 | $24K |
| D1206 | Topical application of fluoride varnish | 8.6% | 1,937 | 1,881 | $22K |
| D0274 | Bitewings - four radiographic images | 5.3% | 749 | 718 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.1% | 1,373 | 855 | $13K |
| D0272 | Bitewings - two radiographic images | 3.4% | 668 | 653 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 934 | 900 | $8K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 91 | 89 | $1K |
1 more codes
| D1110 | Prophylaxis - adult | <1% | 69 | $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.