Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DR. CHESTER V. CLARK, JR. D.D.S., M.P.H., P.C.

NPI: 1962574327 · AMITY, AR 71921 · General Practice Dentistry · NPI assigned 11/14/2006

$3K
Total Medicaid Paid
178
Total Claims
146
Beneficiaries
2
Codes Billed
2020-12
First Month
2023-11
Last Month

Provider Details

Authorized OfficialCLARK, CHESTER (PRESIDENT)
NPI Enumeration Date11/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 22 $133.00
2022 94 $2K
2023 62 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 163 134 $3K
D1110 Prophylaxis - adult 15 12 $387.60