Dental
Clark, Misty
Clark, Misty was paid $1.52M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 13% of everything it billed.
33Billing provider infoCLARK, MISTY
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
33aNPI1780870196assigned 09/19/2007
33bProvider typeDentist
28Total paid$1.52M
24GClaims53,623
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Kentucky
Rank by total paid#20 of 350
Median peer was paid$95K
This provider vs. median16×
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 | 7,628 | $188K | |
| 2019 | 8,514 | $221K | |
| 2020 | 6,428 | $171K | |
| 2021 | 8,473 | $227K | |
| 2022 | 7,871 | $235K | |
| 2023 | 8,839 | $269K | |
| 2024incomplete | 5,870 | $211K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 3,632 | 2,634 | $204K |
| D1110 | Prophylaxis - adult | 12% | 4,130 | 3,966 | $185K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 6,287 | 6,004 | $163K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 3,816 | 2,457 | $160K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.9% | 2,478 | 2,356 | $120K |
| D0330 | Panoramic radiographic image | 7.0% | 2,545 | 2,460 | $107K |
| D0274 | Bitewings - four radiographic images | 6.6% | 3,679 | 3,523 | $100K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.5% | 1,306 | 1,048 | $83K |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 1,524 | 789 | $69K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 4,224 | 4,056 | $65K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 6,829 | 6,450 | $61K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 1,816 | 1,705 | $56K |
12 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 8,838 | $55K |
| D2331 | 2.0% | 574 | $31K | |
| D2332 | 1.4% | 330 | $22K | |
| D0120 | Dental checkup, returning patient | 1.0% | 604 | $16K |
| D0272 | Bitewings - two radiographic images | <1% | 451 | $7K |
| D2335 | <1% | 52 | $4K | |
| D2330 | <1% | 94 | $4K | |
| D1351 | Sealant - per tooth | <1% | 201 | $4K |
| D3110 | <1% | 153 | $2K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 27 | $2K |
| D9110 | <1% | 16 | $356.79 | |
| D1206 | Topical application of fluoride varnish | <1% | 17 | $240.00 |
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.