Dental
Clark & Otero DDS PLLC
Clark & Otero DDS PLLC was paid $403K by Medicaid between Jan 2018 and Apr 2021, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoCLARK & OTERO DDS PLLC
DURHAM, NC 27703
DURHAM, NC 27703
33aNPI1710384938assigned 12/03/2014
33bProvider typeDentist
28Total paid$403K
24GClaims14,109
24DCodes billed16
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Dentist providers in North Carolina
Rank by total paid#142 of 402
Median peer was paid$154K
This provider vs. median2.6×
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 | 3,861 | $96K | |
| 2019 | 4,778 | $140K | |
| 2020 | 4,067 | $127K | |
| 2021 | 1,403 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 679 | 324 | $72K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,982 | 1,933 | $50K |
| D1110 | Prophylaxis - adult | 9.8% | 1,069 | 1,042 | $40K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 1,325 | 1,301 | $36K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.6% | 2,604 | 1,343 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 1,855 | 1,813 | $31K |
| D0330 | Panoramic radiographic image | 6.1% | 432 | 425 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 5.9% | 1,600 | 1,536 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 539 | 528 | $23K |
| D0274 | Bitewings - four radiographic images | 5.7% | 730 | 708 | $23K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.0% | 128 | 67 | $16K |
| D1351 | Sealant - per tooth | 2.9% | 436 | 102 | $12K |
4 more codes
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 officialJACKSON, BEBE (MANAGER)