CLARK, CHARLIE
NPI: 1417103482
· SURPRISE, AZ 85374
· Dentist
· NPI assigned 08/11/2008
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$0.00 |
| 2023 |
47 |
$0.00 |
| 2024 |
44 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
85 |
84 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
18 |
18 |
$0.00 |