Fong, Clark

Fong, Clark was paid $2K by Medicaid between Jan 2022 and Feb 2023, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 57% of everything it billed.

33Billing provider infoFONG, CLARK
SAN MATEO, CA 94401

33aNPI1629265178assigned 09/28/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims51

24DCodes billed2

24AFirst – last monthJan 2022 – Feb 2023

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,464 of 2,668

Median peer was paid$173K

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
2022	38	$1K
2023	13	$253.50

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	57%	38	38	$909.75
D1120	Dental cleaning, childProphylaxis - child	43%	13	13	$682.50

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.