DAVID K CLARK DDS - ORAL SURGERY ASSOCIATES-APDC
NPI: 1497054613
· SHREVEPORT, LA 71118
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 03/28/2011
$2.72M
Total Medicaid Paid
Provider Details
| Authorized Official | PARISH, TANDY (OFFICE MANAGER) |
| NPI Enumeration Date | 03/28/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,061 |
$288K |
| 2019 |
4,067 |
$397K |
| 2020 |
5,440 |
$554K |
| 2021 |
6,224 |
$697K |
| 2022 |
1,288 |
$138K |
| 2023 |
2,262 |
$294K |
| 2024 |
2,154 |
$353K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
3,603 |
1,356 |
$862K |
| D9243 |
|
5,481 |
3,169 |
$496K |
| D7230 |
|
2,340 |
1,000 |
$428K |
| D9239 |
|
3,180 |
3,072 |
$346K |
| D0330 |
Panoramic radiographic image |
4,130 |
4,039 |
$238K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,010 |
539 |
$127K |
| D7220 |
|
710 |
367 |
$98K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,808 |
1,762 |
$92K |
| D0140 |
Limited oral evaluation - problem focused |
2,234 |
2,201 |
$32K |