Hansen, Clarence

Hansen, Clarence was paid $92K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.

33Billing provider infoHANSEN, CLARENCE
HOLBROOK, AZ 86025

33aNPI1336224195assigned 10/27/2006

33bProvider typeDentist

28Total paid$92K

24GClaims4,287

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in Arizona

Rank by total paid#71 of 468

Median peer was paid$686.85

This provider vs. median135×

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	777	$12K
2019	851	$15K
2020	907	$18K
2021	525	$15K
2022	555	$13K
2023	388	$11K
2024incomplete	284	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	1,458	1,425	$26K
D1120	Dental cleaning, childProphylaxis - child	27%	920	886	$25K
D1208	Topical application of fluoride, excluding varnish	21%	1,376	1,339	$19K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	18%	312	145	$17K
D1110	Prophylaxis - adult	3.4%	105	105	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.3%	35	12	$1K
D0272	Bitewings - two radiographic images	<1%	39	39	$650.24
D0220	Intraoral - periapical first radiographic image	<1%	28	26	$238.08
D0602		0%	14	14	$0.00

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.