MICHAEL D. CLARK, DDS, PA
NPI: 1316383821
· PINE BLUFF, AR 71601
· General Practice Dentistry
· NPI assigned 05/13/2013
Provider Details
| Authorized Official | CLARK, MICHAEL (OWNER) |
| NPI Enumeration Date | 05/13/2013 |
Related Entities
Other providers sharing the same authorized official: CLARK, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
316 |
$7K |
| 2021 |
511 |
$13K |
| 2022 |
363 |
$9K |
| 2023 |
240 |
$5K |
| 2024 |
40 |
$682.62 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
491 |
477 |
$12K |
| D0272 |
Bitewings - two radiographic images |
405 |
394 |
$9K |
| D1206 |
Topical application of fluoride varnish |
390 |
379 |
$7K |
| D1110 |
Prophylaxis - adult |
158 |
156 |
$7K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$469.30 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$216.60 |