Dental
Shelly K. Clark
Shelly K. Clark was paid $257K by Medicaid between Nov 2020 and Dec 2024, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.
33Billing provider infoSHELLY K. CLARK
CEDAR HILL, TX 75104
CEDAR HILL, TX 75104
33aNPI1831464387assigned 03/16/2012
33bProvider typePediatric Dentist
28Total paid$257K
24GClaims15,061
24DCodes billed14
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#345 of 693
Median peer was paid$252K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 988 | $18K | |
| 2021 | 5,545 | $97K | |
| 2022 | 3,919 | $64K | |
| 2023 | 3,128 | $53K | |
| 2024incomplete | 1,481 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 2,788 | 2,782 | $79K |
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 2,067 | 2,062 | $75K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 3,116 | 3,108 | $45K |
| D0272 | Bitewings - two radiographic images | 9.9% | 1,357 | 1,352 | $26K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 307 | 291 | $8K |
| D1351 | Sealant - per tooth | 2.8% | 279 | 68 | $7K |
| D1110 | Prophylaxis - adult | 1.8% | 85 | 85 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 376 | 371 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 252 | 160 | $3K |
| D0274 | Bitewings - four radiographic images | 1.0% | 87 | 87 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 30 | 24 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | 12 | $847.68 |
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)
| Provider | Location | Paid |
|---|---|---|
| Avid Quality Care | Aubrey, TX | $27.13M |
| Shelly K. Clark, Dentistry for Children | Midlothian, TX | $413K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.