CLARK, MAXINE
NPI: 1386865137
· ELLICOTT CITY, MD 21042
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/01/2007
$799K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,451 |
$141K |
| 2023 |
2,818 |
$310K |
| 2024 |
2,648 |
$348K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
5,452 |
4,785 |
$398K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
297 |
297 |
$307K |
| D8660 |
|
406 |
396 |
$59K |
| D0330 |
Panoramic radiographic image |
425 |
417 |
$18K |
| D9310 |
|
337 |
335 |
$16K |