Dental
Clark, Richard
Clark, Richard was paid $794K by Medicaid between Apr 2018 and Nov 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoCLARK, RICHARD
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
33aNPI1760820088assigned 06/08/2013
33bProvider typePediatric Dentist
28Total paid$794K
24GClaims28,679
24DCodes billed27
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#25 of 237
Median peer was paid$109K
This provider vs. median7.3×
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 | 154 | $3K | |
| 2019 | 108 | $2K | |
| 2020 | 9,323 | $241K | |
| 2021 | 18,289 | $534K | |
| 2024incomplete | 805 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 1,757 | 459 | $172K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 4,297 | 4,239 | $118K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 4,049 | 3,978 | $83K |
| D7140 | Extraction, erupted tooth or exposed root | 6.9% | 976 | 443 | $55K |
| D1206 | Topical application of fluoride varnish | 6.1% | 2,595 | 2,537 | $48K |
| D0272 | Bitewings - two radiographic images | 6.0% | 2,885 | 2,827 | $47K |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 2,530 | 2,491 | $46K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.6% | 729 | 708 | $29K |
| D2933 | 3.1% | 164 | 46 | $24K | |
| D1110 | Prophylaxis - adult | 3.0% | 617 | 605 | $24K |
| D2934 | 2.7% | 183 | 45 | $21K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.5% | 303 | 167 | $20K |
15 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 848 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.1% | 283 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 288 | $14K |
| D0240 | 1.7% | 1,035 | $13K | |
| D1330 | 1.1% | 1,826 | $9K | |
| D1354 | 1.0% | 962 | $8K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 961 | $8K |
| D1351 | Sealant - per tooth | <1% | 476 | $7K |
| D0330 | Panoramic radiographic image | <1% | 139 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 189 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 387 | $3K |
| D1310 | <1% | 116 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 14 | $689.93 |
| D0140 | Limited oral evaluation - problem focused | <1% | 33 | $663.00 |
| D1999 | 0% | 37 | $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.