Dental
Clarke, Adam
Clarke, Adam was paid $19K by Medicaid between Jan 2018 and Apr 2019, across 7 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 25% of everything it billed.
33Billing provider infoCLARKE, ADAM
SYRACUSE, UT 84075
SYRACUSE, UT 84075
33aNPI1932497203assigned 07/20/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$19K
24GClaims576
24DCodes billed7
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#120 of 225
Median peer was paid$21K
This provider vs. median0.9×
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 | $13K | |
| 2019 | 215 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 25% | 34 | 26 | $5K |
| D1110 | Prophylaxis - adult | 22% | 106 | 103 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 120 | 114 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 67 | 64 | $2K |
| D0274 | Bitewings - four radiographic images | 11% | 72 | 67 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 165 | 152 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 4.6% | 12 | 12 | $861.72 |
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.