Dental
Clark and Jackson PD, LLC
Clark and Jackson PD, LLC was paid $7K by Medicaid between Mar 2021 and May 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 64% of everything it billed.
33Billing provider infoCLARK AND JACKSON PD, LLC
FORT MILL, SC 29708
FORT MILL, SC 29708
33aNPI1811598493assigned 11/02/2020
33bProvider typePediatric Dentist
28Total paid$7K
24GClaims385
24DCodes billed4
24AFirst – last monthMar 2021 – May 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#81 of 86
Median peer was paid$1.24M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 167 | $3K | |
| 2022 | 95 | $2K | |
| 2023 | 108 | $2K | |
| 2024incomplete | 15 | $327.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 64% | 223 | 223 | $5K |
| D1206 | Topical application of fluoride varnish | 29% | 137 | 137 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.2% | 13 | 13 | $382.80 |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 12 | 12 | $153.96 |
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.
From NPPES
Who's on the registration
Authorized officialJACKSON, STEPHANIE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Aaa Care LLC | New Orleans, LA | $14.87M |
| A Better Day Home Care Services, INC. | Charlotte, NC | $2.67M |
| Everycare Express Clinic | Canton, MS | $1.39M |
| Aaa Care LLC | New Orleans, LA | $1.33M |
| Aaa Care LLC | New Orleans, LA | $243K |
| A Sunny Day Home Healthcare INC | Charlotte, NC | $111K |
| Jackson Pediatric Dentistry LLC | Rock Hill, SC | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.