Clark, Chester

Clark, Chester was paid $58K by Medicaid between Jan 2018 and Sep 2019, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.

33Billing provider infoCLARK, CHESTER
AMITY, AR 71921

33aNPI1750653127assigned 02/01/2012

33bProvider typeGeneral Practice Dentistry

28Total paid$58K

24GClaims2,001

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2019

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#165 of 401

Median peer was paid$36K

This provider vs. median1.6×

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	1,397	$41K
2019	604	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	698	490	$18K
D1110	Prophylaxis - adult	28%	353	246	$16K
D0272	Bitewings - two radiographic images	22%	556	388	$13K
D1120	Dental cleaning, childProphylaxis - child	8.5%	142	89	$5K
D0140	Limited oral evaluation - problem focused	7.2%	138	88	$4K
D0220	Intraoral - periapical first radiographic image	2.2%	74	42	$1K
D0230	Intraoral - periapical each additional radiographic image	<1%	40	12	$355.50

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.