Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CLARK, CHESTER

NPI: 1750653127 · AMITY, AR 71921 · General Practice Dentistry · NPI assigned 02/01/2012

$58K
Total Medicaid Paid
2,001
Total Claims
1,355
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,397 $41K
2019 604 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 698 490 $18K
D1110 Prophylaxis - adult 353 246 $16K
D0272 Bitewings - two radiographic images 556 388 $13K
D1120 Prophylaxis - child 142 89 $5K
D0140 Limited oral evaluation - problem focused 138 88 $4K
D0220 Intraoral - periapical first radiographic image 74 42 $1K
D0230 Intraoral - periapical each additional radiographic image 40 12 $355.50