Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MICHAEL D. CLARK, DDS, PA

NPI: 1316383821 · PINE BLUFF, AR 71601 · General Practice Dentistry · NPI assigned 05/13/2013

$35K
Total Medicaid Paid
1,470
Total Claims
1,432
Beneficiaries
6
Codes Billed
2020-06
First Month
2024-02
Last Month

Provider Details

Authorized OfficialCLARK, MICHAEL (OWNER)
NPI Enumeration Date05/13/2013

Related Entities

Other providers sharing the same authorized official: CLARK, MICHAEL

ProviderCityStateTotal Paid
NICHOLAS PHARMACY INC SUMMERSVILLE WV $2.19M
PATHFINDERS CHILD AND FAMILY SERVICES LLC FISHERS IN $1.59M
CASTLEVIEW PHYSICIAN PRACTICE, LLC PRICE UT $510K
AMG CROCKETT LLC LAWRENCEBURG TN $287K
AMG-CROCKETT, LLC LAWRENCEBURG TN $277K
ASPIRE FAMILY MEDICINE &WELLNESS CENTER, LLC WALLINGFORD CT $219K
AMG-CROCKETT, LLC LAWRENCEBURG TN $127K
QUAL-MED SERV, INC. COLUMBUS OH $46K
WALLA WALLA PHYSICAL THERAPY CENTER APS WALLA WALLA WA $27K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 316 $7K
2021 511 $13K
2022 363 $9K
2023 240 $5K
2024 40 $682.62

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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