NPI: 1770782831 · DILLINGHAM, AK 99576 · General Practice Dentistry · NPI assigned 07/17/2007
Authorized official CLARK, ROBERT controls 20+ related entities in our dataset. Read more
| Authorized Official | CLARK, ROBERT (CEO) |
| NPI Enumeration Date | 07/17/2007 |
Other providers sharing the same authorized official: CLARK, ROBERT
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,710 | $1.01M |
| 2019 | 7,151 | $1.26M |
| 2020 | 3,161 | $678K |
| 2021 | 3,926 | $786K |
| 2022 | 8,695 | $2.11M |
| 2023 | 6,535 | $1.39M |
| 2024 | 7,470 | $1.86M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 4,077 | 3,744 | $2.08M |
| D0140 | Limited oral evaluation - problem focused | 4,082 | 3,731 | $1.10M |
| D0272 | Bitewings - two radiographic images | 2,074 | 1,982 | $1.07M |
| D0120 | Periodic oral evaluation - established patient | 5,650 | 5,198 | $1.07M |
| D1206 | Topical application of fluoride varnish | 11,477 | 9,879 | $1.05M |
| D1351 | Sealant - per tooth | 8,872 | 2,098 | $778K |
| D0274 | Bitewings - four radiographic images | 1,877 | 1,711 | $737K |
| D1120 | Prophylaxis - child | 964 | 913 | $488K |
| D1110 | Prophylaxis - adult | 1,548 | 1,342 | $426K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 310 | 203 | $79K |
| D7140 | Extraction, erupted tooth or exposed root | 661 | 378 | $70K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 261 | 148 | $59K |
| D0330 | Panoramic radiographic image | 230 | 210 | $21K |
| D0270 | 450 | 407 | $17K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 92 | 89 | $13K |
| D2331 | 24 | 13 | $9K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 21 | 15 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 76 | 66 | $5K |
| D0240 | 17 | 12 | $3K | |
| D9310 | 128 | 111 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | 344 | 163 | $945.00 |
| D0460 | 47 | 41 | $90.50 | |
| D1354 | 230 | 84 | $0.00 | |
| D1353 | 136 | 67 | $0.00 |