CLARK, DENNIS
NPI: 1427057157
· LEBANON, OR 97355
· General Practice Dentistry
· NPI assigned 07/15/2005
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,125 |
$0.00 |
| 2019 |
2,348 |
$0.00 |
| 2020 |
787 |
$0.00 |
| 2021 |
201 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
1,029 |
935 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
208 |
185 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
98 |
89 |
$0.00 |
| D0603 |
|
616 |
573 |
$0.00 |
| D1330 |
|
514 |
460 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
421 |
369 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
59 |
52 |
$0.00 |
| D0602 |
|
47 |
43 |
$0.00 |
| D1120 |
Prophylaxis - child |
261 |
231 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
682 |
590 |
$0.00 |
| D1999 |
|
116 |
105 |
$0.00 |
| D1354 |
|
1,580 |
517 |
$0.00 |
| D1110 |
Prophylaxis - adult |
425 |
394 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
377 |
344 |
$0.00 |
| D0180 |
|
28 |
27 |
$0.00 |