Clark, Jev

Clark, Jev was paid $120K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 54% of everything it billed.

33Billing provider infoCLARK, JEV
SALEM, OR 97302

33aNPI1558622936assigned 06/01/2012

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$120K

24GClaims875

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Oregon

Rank by total paid#12 of 27

Median peer was paid$67K

This provider vs. median1.8×

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	404	$42K
2022	39	$3K
2023	222	$40K
2024incomplete	210	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	54%	297	76	$64K
D0140	Limited oral evaluation - problem focused	19%	339	317	$23K
D9222		14%	123	108	$17K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	13%	116	67	$16K

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.