Clark, Christopher

Clark, Christopher was paid $34K by Medicaid between May 2020 and Jul 2021, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 26% of everything it billed.

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
2020	560	$15K
2021	712	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	26%	438	425	$9K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	321	312	$8K
D1110	Prophylaxis - adult	22%	173	172	$7K
D1120	Dental cleaning, childProphylaxis - child	18%	189	184	$6K
D0150	Comprehensive oral evaluation - new or established patient	7.8%	98	95	$3K
D0274	Bitewings - four radiographic images	1.9%	27	27	$642.90
D0330	Panoramic radiographic image	1.5%	12	12	$519.07
D0220	Intraoral - periapical first radiographic image	<1%	14	14	$180.51

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.