Hicken, Clark

Hicken, Clark was paid $1K by Medicaid between Jan 2019 and Feb 2022, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 94% of everything it billed.

33Billing provider infoHICKEN, CLARK
OREM, UT 84097

33aNPI1407925308assigned 11/06/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$1K

24GClaims92

24DCodes billed4

24AFirst – last monthJan 2019 – Feb 2022

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#189 of 225

Median peer was paid$21K

This provider vs. median0.1×

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
2019	61	$87.25
2022	31	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	94%	17	14	$1K
D0274	Bitewings - four radiographic images	6.0%	48	44	$87.25
D1120	Dental cleaning, childProphylaxis - child	0%	14	12	$0.00
D1110	Prophylaxis - adult	0%	13	13	$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.