Dental
Clark, Tanner
Clark, Tanner was paid $958K by Medicaid between Nov 2018 and May 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoCLARK, TANNER
PHILADELPHIA, PA 19146
PHILADELPHIA, PA 19146
33aNPI1679841811assigned 12/02/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$958K
24GClaims50,040
24DCodes billed14
24AFirst – last monthNov 2018 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#28 of 847
Median peer was paid$37K
This provider vs. median26×
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 | 336 | $6K | |
| 2019 | 7,286 | $118K | |
| 2020 | 5,128 | $82K | |
| 2021 | 8,157 | $157K | |
| 2022 | 12,083 | $243K | |
| 2023 | 11,977 | $242K | |
| 2024incomplete | 5,073 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 5,696 | 5,676 | $394K |
| D0191 | 18% | 1,054 | 1,054 | $174K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 4,687 | 4,665 | $75K |
| D1351 | Sealant - per tooth | 7.7% | 4,986 | 1,186 | $74K |
| D0274 | Bitewings - four radiographic images | 6.4% | 4,145 | 4,132 | $62K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 12,172 | 5,727 | $45K |
| D1206 | Topical application of fluoride varnish | 4.2% | 5,716 | 5,701 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 1,141 | 1,138 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 5,792 | 5,776 | $34K |
| D1354 | 1.7% | 3,544 | 1,247 | $16K | |
| D0272 | Bitewings - two radiographic images | <1% | 329 | 328 | $8K |
| D1110 | Prophylaxis - adult | <1% | 15 | 12 | $851.27 |
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.