Dental
Michael D. Clark, DDS, PA
Michael D. Clark, DDS, PA was paid $35K by Medicaid between Jun 2020 and Feb 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.
33Billing provider infoMICHAEL D. CLARK, DDS, PA
PINE BLUFF, AR 71601
PINE BLUFF, AR 71601
33aNPI1316383821assigned 05/13/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$35K
24GClaims1,470
24DCodes billed6
24AFirst – last monthJun 2020 – Feb 2024
Compared with peers
Next to other General Practice Dentistry providers in Arkansas
Rank by total paid#206 of 401
Median peer was paid$36K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 316 | $7K | |
| 2021 | 511 | $13K | |
| 2022 | 363 | $9K | |
| 2023 | 240 | $5K | |
| 2024incomplete | 40 | $682.62 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 491 | 477 | $12K |
| D0272 | Bitewings - two radiographic images | 25% | 405 | 394 | $9K |
| D1206 | Topical application of fluoride varnish | 21% | 390 | 379 | $7K |
| D1110 | Prophylaxis - adult | 20% | 158 | 156 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.3% | 13 | 13 | $469.30 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | 13 | $216.60 |
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, MICHAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
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| Qual-Med Serv, INC. | Columbus, OH | $46K |
| Walla Walla Physical Therapy Center Aps | Walla Walla, WA | $27K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.