Clinton Dental Surgery Center, P.C.

Clinton Dental Surgery Center, P.C. was paid $5K by Medicaid between Jan 2019 and May 2024, across 5 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 53% of everything it billed.

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
2019	13	$282.48
2024incomplete	71	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	53%	28	13	$3K
D9222		29%	14	13	$1K
D0140	Limited oral evaluation - problem focused	7.7%	16	15	$365.95
D0150	Comprehensive oral evaluation - new or established patient	6.0%	13	12	$282.48
D9610		3.7%	13	12	$175.68

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 officialALT, ROBERT (CORPORATE V.P. AND SEC)