Clark, Devin

Clark, Devin was paid $36K by Medicaid between Aug 2018 and Jan 2019, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 35% of everything it billed.

33Billing provider infoCLARK, DEVIN
WINLOCK, WA 98596

33aNPI1952893026assigned 06/04/2018

33bProvider typeDentist

28Total paid$36K

24GClaims806

24DCodes billed9

24AFirst – last monthAug 2018 – Jan 2019

Compared with peers

Next to other Dentist providers in Washington

Rank by total paid#162 of 335

Median peer was paid$30K

This provider vs. median1.2×

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	770	$35K
2019	36	$1K

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	35%	131	70	$12K
D2391	Resin-based composite - one surface, posterior, primary or permanent	24%	125	61	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	215	210	$5K
D4355		11%	65	62	$4K
D1110	Prophylaxis - adult	5.2%	51	51	$2K
D1208	Topical application of fluoride, excluding varnish	4.8%	110	109	$2K
D0274	Bitewings - four radiographic images	3.6%	43	42	$1K
D0220	Intraoral - periapical first radiographic image	1.8%	51	46	$633.46
D1120	Dental cleaning, childProphylaxis - child	1.1%	15	15	$388.05

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.