DR. JOHHNY M CLARK DDS PC
NPI: 1831200427
· HAMILTON, TX 76531
· Dentist
· NPI assigned 08/31/2006
Provider Details
| Authorized Official | CLARK, LYNDA (OFFICE MANAGER) |
| NPI Enumeration Date | 08/31/2006 |
Related Entities
Other providers sharing the same authorized official: CLARK, LYNDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
27 |
$566.70 |
| 2021 |
419 |
$9K |
| 2022 |
349 |
$7K |
| 2023 |
30 |
$202.86 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
166 |
161 |
$4K |
| D1206 |
Topical application of fluoride varnish |
268 |
261 |
$4K |
| D1120 |
Prophylaxis - child |
106 |
101 |
$4K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
26 |
13 |
$2K |
| D1110 |
Prophylaxis - adult |
42 |
40 |
$2K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$670.23 |
| D0274 |
Bitewings - four radiographic images |
14 |
13 |
$238.50 |
| D0603 |
|
163 |
155 |
$0.00 |
| D0602 |
|
28 |
24 |
$0.00 |