Dental
Shelly K. Clark, Dentistry for Children
Shelly K. Clark, Dentistry for Children was paid $413K by Medicaid between Jun 2021 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoSHELLY K. CLARK, DENTISTRY FOR CHILDREN
MIDLOTHIAN, TX 76065
MIDLOTHIAN, TX 76065
33aNPI1821684929assigned 12/14/2020
33bProvider typePediatric Dentist
28Total paid$413K
24GClaims20,685
24DCodes billed19
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#291 of 693
Median peer was paid$252K
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 | |
|---|---|---|---|
| 2021 | 2,862 | $58K | |
| 2022 | 4,383 | $78K | |
| 2023 | 6,656 | $127K | |
| 2024incomplete | 6,784 | $149K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 2,605 | 2,579 | $92K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 3,156 | 3,127 | $89K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 3,502 | 3,471 | $50K |
| D0272 | Bitewings - two radiographic images | 9.6% | 1,772 | 1,755 | $40K |
| D1351 | Sealant - per tooth | 8.0% | 1,218 | 277 | $33K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.7% | 1,080 | 993 | $27K |
| D1110 | Prophylaxis - adult | 4.7% | 359 | 355 | $19K |
| D0274 | Bitewings - four radiographic images | 3.1% | 401 | 396 | $13K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.7% | 74 | 14 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 844 | 823 | $10K |
| D0145 | Oral evaluation for a patient under three years of age | 1.9% | 55 | 55 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 86 | 61 | $6K |
7 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 70 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 399 | $4K |
| D0330 | Panoramic radiographic image | <1% | 88 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 44 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | $261.04 |
| D0603 | 0% | 4,899 | $0.00 | |
| D1310 | 0% | 19 | $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.
From NPPES
Who's on the registration
Authorized officialCLARK, SHELLY (OWNER)
Parent organizationSHELLY K. CLARK, DENTISTRY FOR CHILDREN
| Provider | Location | Paid |
|---|---|---|
| Avid Quality Care | Aubrey, TX | $27.13M |
| Shelly K. Clark | Cedar Hill, TX | $257K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.