CLARK, JEFFREY
NPI: 1649261850
· BOWLING GREEN, KY 42104
· Oral and Maxillofacial Pathology Dentist
· NPI assigned 11/04/2005
$980K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,357 |
$86K |
| 2019 |
3,196 |
$210K |
| 2020 |
2,448 |
$148K |
| 2021 |
3,638 |
$236K |
| 2022 |
771 |
$36K |
| 2023 |
2,006 |
$226K |
| 2024 |
386 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,512 |
785 |
$341K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,586 |
1,074 |
$231K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,460 |
2,429 |
$120K |
| D0330 |
Panoramic radiographic image |
1,945 |
1,917 |
$88K |
| D9222 |
|
962 |
946 |
$85K |
| D9610 |
|
1,916 |
783 |
$60K |
| D7240 |
Removal of impacted tooth - completely bony |
113 |
39 |
$27K |
| D7250 |
|
174 |
51 |
$21K |
| D9612 |
|
134 |
133 |
$8K |