Dental
DR. Clark L. Fong, DDS, a Professional Dental Corporation
DR. Clark L. Fong, DDS, a Professional Dental Corporation was paid $9K by Medicaid between Apr 2018 and Mar 2021, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 45% of everything it billed.
33Billing provider infoDR. CLARK L. FONG, DDS, A PROFESSIONAL DENTAL CORPORATION
SAN MATEO, CA 94401
SAN MATEO, CA 94401
33aNPI1578803268assigned 02/18/2013
33bProvider typeDentist
28Total paid$9K
24GClaims398
24DCodes billed4
24AFirst – last monthApr 2018 – Mar 2021
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,907 of 2,314
Median peer was paid$185K
This provider vs. median0.0×
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 | 138 | $2K | |
| 2019 | 69 | $2K | |
| 2020 | 80 | $2K | |
| 2021 | 111 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 45% | 104 | 104 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 42% | 129 | 129 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 127 | 127 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 38 | 13 | $153.90 |
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.
From NPPES
Who's on the registration
Authorized officialFONG, CLARK (OWNER)