Dental
Devin Clark, DDS, PLLC
Devin Clark, DDS, PLLC was paid $16K by Medicaid between Jul 2020 and Nov 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.
33Billing provider infoDEVIN CLARK, DDS, PLLC
WINLOCK, WA 98596
WINLOCK, WA 98596
33aNPI1992336127assigned 01/27/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$16K
24GClaims854
24DCodes billed9
24AFirst – last monthJul 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Washington
Rank by total paid#169 of 319
Median peer was paid$22K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2020 | 38 | $602.84 | |
| 2021 | 289 | $4K | |
| 2022 | 168 | $4K | |
| 2023 | 216 | $4K | |
| 2024incomplete | 143 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 249 | 241 | $6K |
| D1206 | Topical application of fluoride varnish | 22% | 234 | 230 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 147 | 144 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 25 | 12 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 86 | 82 | $653.10 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 21 | 14 | $599.64 |
| D0274 | Bitewings - four radiographic images | 2.0% | 25 | 25 | $330.66 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 12 | 12 | $302.76 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 55 | 55 | $122.25 |
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 officialCLARK, DEVIN (OWNER/MEMBER)