Clark Family Dental Center, LLC

Clark Family Dental Center, LLC was paid $62K by Medicaid between Jun 2018 and Nov 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.

33Billing provider infoCLARK FAMILY DENTAL CENTER, LLC
CLARK, SD 57225

33aNPI1891201018assigned 12/26/2017

33bProvider typeDental Clinic/Center

28Total paid$62K

24GClaims2,048

24DCodes billed7

24AFirst – last monthJun 2018 – Nov 2024

Compared with peers

Next to other Dental Clinic/Center providers in South Dakota

Rank by total paid#19 of 54

Median peer was paid$30K

This provider vs. median2.1×

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	361	$11K
2019	149	$4K
2020	25	$776.28
2021	254	$7K
2022	461	$15K
2023	541	$14K
2024incomplete	257	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	37%	833	826	$23K
D0274	Bitewings - four radiographic images	25%	472	467	$15K
D1110	Prophylaxis - adult	18%	252	245	$11K
D1120	Dental cleaning, childProphylaxis - child	7.7%	150	150	$5K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	6.6%	186	163	$4K
D1206	Topical application of fluoride varnish	3.3%	138	138	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.2%	17	13	$1K

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 officialSPIEKER, CRAIG (PARTNER)