DAVID M CLARK, PC
NPI: 1316248552
· SOUTH ABINGTON TOWNSHIP, PA 18411
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 11/04/2010
$1.16M
Total Medicaid Paid
Provider Details
| Authorized Official | CLARK, DAVID (PRESIDENT) |
| NPI Enumeration Date | 11/04/2010 |
Related Entities
Other providers sharing the same authorized official: CLARK, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
209 |
$15K |
| 2019 |
99 |
$7K |
| 2024 |
7,569 |
$1.14M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,686 |
756 |
$334K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,044 |
1,040 |
$272K |
| D7240 |
Removal of impacted tooth - completely bony |
810 |
290 |
$230K |
| D9222 |
|
1,043 |
1,040 |
$205K |
| D0140 |
Limited oral evaluation - problem focused |
763 |
760 |
$60K |
| D7230 |
|
158 |
108 |
$38K |
| D0330 |
Panoramic radiographic image |
181 |
181 |
$9K |
| D7140 |
Extraction, erupted tooth or exposed root |
70 |
21 |
$6K |
| D7310 |
|
110 |
38 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$225.70 |