Clark, Travis

Clark, Travis was paid $372K by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 18% of everything it billed.

33Billing provider infoCLARK, TRAVIS
LEBANON, OH 45036

33aNPI1548344203assigned 10/25/2006

33bProvider typeDentist

28Total paid$372K

24GClaims12,422

24DCodes billed20

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in Ohio

Rank by total paid#152 of 745

Median peer was paid$38K

This provider vs. median9.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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
2018	5,990	$186K
2019	4,163	$128K
2020	1,010	$26K
2021	401	$11K
2022	651	$15K
2023	147	$3K
2024incomplete	60	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7140	Extraction, erupted tooth or exposed root	18%	1,195	516	$65K
D1110	Prophylaxis - adult	15%	1,753	1,667	$55K
D0210	Intraoral - complete series of radiographic images	11%	789	743	$42K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	10%	2,427	2,307	$38K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	10.0%	754	450	$37K
D2391	Resin-based composite - one surface, posterior, primary or permanent	8.3%	680	370	$31K
D0274	Bitewings - four radiographic images	4.5%	912	867	$17K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	4.4%	276	194	$17K
D1208	Topical application of fluoride, excluding varnish	4.1%	1,087	1,040	$15K
D0150	Comprehensive oral evaluation - new or established patient	4.1%	626	588	$15K
D1120	Dental cleaning, childProphylaxis - child	3.5%	725	685	$13K
D2331		2.3%	150	96	$9K

8 more codes

D0140	Limited oral evaluation - problem focused	1.5%	289	$6K
D1351	Sealant - per tooth	1.2%	245	$5K
D2335		<1%	37	$3K
D2330		<1%	37	$2K
D1320		<1%	106	$2K
D0220	Intraoral - periapical first radiographic image	<1%	234	$1K
D0272	Bitewings - two radiographic images	<1%	53	$480.00
D0230	Intraoral - periapical each additional radiographic image	<1%	47	$235.00

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.