Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DAVID L CLARK DDS PC

NPI: 1427127349 · TEMPERANCE, MI 48182 · Dentist · NPI assigned 11/07/2006

$3K
Total Medicaid Paid
81
Total Claims
81
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialCLARK, DAVID (OWNER)
NPI Enumeration Date11/07/2006

Related Entities

Other providers sharing the same authorized official: CLARK, DAVID

ProviderCityStateTotal Paid
DAVID M CLARK, PC SOUTH ABINGTON TOWNSHIP PA $1.16M
COUPLES RESOURCE COLLECTIVE SACRAMENTO CA $986K
MOUNTAIN INTERVAL, LLC LAS VEGAS NV $412K
GRO OPTICAL, LLC GREENVILLE MI $27K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 81 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 54 54 $2K
D1120 Prophylaxis - child 27 27 $1K