Dental
Clark, Shelly
Clark, Shelly was paid $22K by Medicaid between Aug 2018 and Nov 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.
33Billing provider infoCLARK, SHELLY
CEDAR HILL, TX 75104
CEDAR HILL, TX 75104
33aNPI1891880076assigned 10/04/2006
33bProvider typePediatric Dentist
28Total paid$22K
24GClaims1,628
24DCodes billed11
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#531 of 693
Median peer was paid$252K
This provider vs. median0.1×
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 | 12 | $0.00 | |
| 2019 | 244 | $3K | |
| 2020 | 26 | $0.00 | |
| 2021 | 136 | $1K | |
| 2022 | 495 | $8K | |
| 2023 | 229 | $3K | |
| 2024incomplete | 486 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 230 | 230 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 175 | 175 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 24% | 406 | 405 | $5K |
| D0272 | Bitewings - two radiographic images | 5.9% | 59 | 59 | $1K |
| D1351 | Sealant - per tooth | 5.5% | 47 | 13 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.7% | 42 | 40 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 45 | 25 | $516.80 |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 45 | 44 | $500.26 |
| D1110 | Prophylaxis - adult | 2.2% | 13 | 13 | $493.92 |
| D0274 | Bitewings - four radiographic images | 1.6% | 13 | 13 | $349.71 |
| D0603 | 0% | 553 | 549 | $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.