Clark, Rachel

Clark, Rachel was paid $5K by Medicaid between Aug 2018 and Nov 2018, across 5 billing codes. Its largest line is D0330, Panoramic radiographic image — 61% of everything it billed.

33Billing provider infoCLARK, RACHEL
WICHITA, KS 67214

33aNPI1720570484assigned 05/30/2018

33bProvider typeDentist

28Total paid$5K

24GClaims175

24DCodes billed5

24AFirst – last monthAug 2018 – Nov 2018

Compared with peers

Next to other Dentist providers in Kansas

Rank by total paid#82 of 112

Median peer was paid$52K

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	175	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0330	Panoramic radiographic image	61%	27	27	$3K
D0150	Comprehensive oral evaluation - new or established patient	16%	16	16	$884.60
D1206	Topical application of fluoride varnish	13%	29	29	$717.60
D0220	Intraoral - periapical first radiographic image	9.7%	43	43	$533.24
D0230	Intraoral - periapical each additional radiographic image	0%	60	25	$0.00

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.