Clark, Alan

Clark, Alan was paid $4K by Medicaid between Feb 2018 and Sep 2019, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 74% of everything it billed.

33Billing provider infoCLARK, ALAN
FAYETTEVILLE, AR 72703

33aNPI1619985884assigned 08/04/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims174

24DCodes billed2

24AFirst – last monthFeb 2018 – Sep 2019

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#332 of 401

Median peer was paid$36K

This provider vs. median0.1×

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	134	$3K
2019	40	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	74%	119	99	$3K
D1206	Topical application of fluoride varnish	26%	55	41	$1K

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.