Clark, Michael

Clark, Michael was paid $85K by Medicaid between Jan 2018 and Aug 2018, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 33% of everything it billed.

33Billing provider infoCLARK, MICHAEL
CHEYENNE, WY 82009

33aNPI1386778520assigned 03/16/2007

33bProvider typePediatric Dentist

28Total paid$85K

24GClaims2,726

24DCodes billed10

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other Pediatric Dentist providers in Wyoming

Rank by total paid#11 of 16

Median peer was paid$454K

This provider vs. median0.2×

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	2,726	$85K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	33%	664	657	$28K
D1120	Dental cleaning, childProphylaxis - child	25%	739	724	$21K
D1206	Topical application of fluoride varnish	18%	619	613	$15K
D0330	Panoramic radiographic image	6.6%	165	162	$6K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	5.3%	136	129	$5K
D0210	Intraoral - complete series of radiographic images	3.7%	47	47	$3K
D0272	Bitewings - two radiographic images	3.6%	205	202	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.1%	23	16	$3K
D1208	Topical application of fluoride, excluding varnish	1.4%	96	88	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	32	32	$576.00

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.