Active NPI 1417026097 Individual Practitioner Male Practitioner

Dr. Clinton Miller , DDS

Dentist - General Practice • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Clinton Miller, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tyler, TX. Practice services are available at 419 W SOUTHWEST LOOP 323 STE 300 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

419 W Southwest Loop 323 Ste 300

Tyler, TX 757017062

Telephone 9032519292

Fax 9032078642

Associated Practice Facility / Clinic

🏢 Dylan Patrick Dds, Pllc Facility NPI 1871090860

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tyler, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 12.3 Yrs

Regional Practice Density

84 Specialists

Practicing in Tyler, TX (10570 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$191.58	$76.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	234	$280.56	$91.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$283.70	$89.93
72110 X-ray of lower and sacral spine, minimum of 4 views	68	68	$125.78	$41.92
73564 X-ray of knee, 4 or more views	60	54	$87.58	$36.01
20610 Aspiration and/or injection of fluid from large joint	55	54	$248.74	$58.33
73030 X-ray of shoulder, minimum of 2 views	42	42	$82.92	$28.62
J1040 Injection, methylprednisolone acetate, 80 mg	37	34	$25.90	$11.36
23472 Prosthetic repair of shoulder joint, total shoulder	34	34	$884.19	$199.36
73502 X-ray of hip, 2-3 views	33	33	$134.80	$36.98
73110 X-ray of wrist, minimum of 3 views	28	26	$77.33	$32.66
73630 X-ray of foot, minimum of 3 views	27	27	$77.33	$28.28
J1885 Injection, ketorolac tromethamine, per 15 mg	24	11	$26.17	$0.51
73130 X-ray of hand, minimum of 3 views	21	20	$67.16	$28.73
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	20	13	$2654.77	$719.70
72050 X-ray of upper spine, 4 or 5 views	20	20	$123.92	$43.66
73610 X-ray of ankle, minimum of 3 views	17	17	$77.33	$28.82
73080 X-ray of elbow, minimum of 3 views	16	16	$79.20	$25.76
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$191.58	$64.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$83.67	$11.16
73140 X-ray of finger, minimum of 2 views	11	11	$67.08	$30.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	481	445	$280.56	$91.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	218	218	$283.70	$92.38
73564 X-ray of knee, 4 or more views	155	142	$87.58	$35.38
72110 X-ray of lower and sacral spine, minimum of 4 views	114	113	$125.78	$43.23
73030 X-ray of shoulder, minimum of 2 views	95	91	$82.92	$25.81
73502 X-ray of hip, 2-3 views	78	72	$134.80	$37.04
J1040 Injection, methylprednisolone acetate, 80 mg	52	46	$25.90	$12.03
20610 Aspiration and/or injection of fluid from large joint	52	47	$215.25	$52.06
73630 X-ray of foot, minimum of 3 views	43	42	$77.33	$26.93
73610 X-ray of ankle, minimum of 3 views	39	38	$77.33	$28.80
73130 X-ray of hand, minimum of 3 views	39	37	$67.16	$28.77
73110 X-ray of wrist, minimum of 3 views	39	39	$77.33	$31.53
72050 X-ray of upper spine, 4 or 5 views	31	31	$123.92	$43.44
73080 X-ray of elbow, minimum of 3 views	26	26	$79.20	$25.70
73140 X-ray of finger, minimum of 2 views	25	24	$67.08	$29.08
73562 X-ray of knee, 3 views	16	14	$83.75	$32.18
73721 Mri scan of leg joint without contrast	15	15	$1445.74	$201.12
72070 X-ray of middle spine, 2 views	11	11	$89.45	$29.38
72148 MRI scan of lower spinal canal	11	11	$1535.77	$178.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	315	302	$280.56	$93.51
99213 Established patient office or other outpatient visit, typically 15 minutes	201	140	$191.58	$64.42
73030 X-ray of shoulder, minimum of 2 views	181	131	$82.92	$26.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	137	137	$283.70	$95.52
73564 X-ray of knee, 4 or more views	105	95	$87.58	$35.31
72110 X-ray of lower and sacral spine, minimum of 4 views	62	61	$125.78	$43.36
20610 Aspiration and/or injection of fluid from large joint	61	51	$224.27	$55.65
J1040 Injection, methylprednisolone acetate, 80 mg	46	39	$25.90	$12.91
23472 Prosthetic repair of shoulder joint, total shoulder	43	41	$884.19	$211.84
73502 X-ray of hip, 2-3 views	37	37	$134.80	$36.17
73610 X-ray of ankle, minimum of 3 views	29	26	$77.33	$27.31
73130 X-ray of hand, minimum of 3 views	27	25	$67.16	$28.66
73630 X-ray of foot, minimum of 3 views	23	23	$77.33	$25.59
72050 X-ray of upper spine, 4 or 5 views	20	20	$123.92	$39.14
73110 X-ray of wrist, minimum of 3 views	19	17	$77.33	$31.53
73140 X-ray of finger, minimum of 2 views	15	13	$67.08	$28.92
73080 X-ray of elbow, minimum of 3 views	14	14	$79.20	$28.35
73721 Mri scan of leg joint without contrast	11	11	$1445.74	$214.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	440	312	$188.11	$60.64
73030 X-ray of shoulder, minimum of 2 views	263	147	$81.23	$23.90
20610 Aspiration and/or injection of fluid from large joint	113	85	$241.69	$55.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$278.81	$91.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	77	$279.29	$88.70
J1040 Injection, methylprednisolone acetate, 80 mg	69	57	$25.41	$11.00
73564 X-ray of knee, 4 or more views	68	58	$85.91	$31.02
23472 Prosthetic repair of shoulder joint, total shoulder	53	51	$868.50	$190.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	43	$111.73	$36.50
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	43	25	$867.47	$534.67
72110 X-ray of lower and sacral spine, minimum of 4 views	33	32	$123.39	$38.34
73502 X-ray of hip, 2-3 views	30	26	$132.18	$32.82
73562 X-ray of knee, 3 views	30	21	$82.25	$27.09
73130 X-ray of hand, minimum of 3 views	30	27	$65.86	$23.46
73630 X-ray of foot, minimum of 3 views	23	23	$75.98	$22.60
73110 X-ray of wrist, minimum of 3 views	20	20	$76.12	$27.14
73610 X-ray of ankle, minimum of 3 views	20	20	$76.12	$25.07
73080 X-ray of elbow, minimum of 3 views	13	13	$77.02	$23.71

Medical Specialties & State Licenses

CMS Verified: 2024-10-09

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 31003

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

418989601 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Dylan Patrick , DDS

Dentist - Pediatric Dentistry

NPI 1952782724

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Practice Location October 09, 2024

Registered at 419 W SOUTHWEST LOOP 323 STE 300, TYLER, TX 757017062 (Tel: 9032519292)

📍

Updated Business Mailing Address October 09, 2024

Registered at 419 W SOUTHWEST LOOP 323 STE 300, TYLER, TX 757017062 (Tel: 9032519292)

👤

Provider Name / Credentials Updated October 09, 2024

Recorded as CLINTON MILLER, DDS

📍

Updated Practice Location April 05, 2018

Registered at 615 LILLY RD NE STE 100, OLYMPIA, WA 985065117 (Tel: 3604914211)

✅

NPI Profile Active February 23, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2017

Registered at 615 LILLY RD NE, SUITE 100, OLYMPIA, WA 985065117 (Tel: 3604914211)

📍

Updated Business Mailing Address February 23, 2017

Registered at PO BOX 368, OLYMPIA, WA 985070368 (Tel: 3604918439)

👤

Provider Name / Credentials Updated February 23, 2017

Recorded as CLINTON MILLER, DDS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2017

Dentist (License #31003 in TX)

✅

NPI Profile Active August 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2016

Registered at 9301 N CENTRAL EXPY, SUITE 500, DALLAS, TX 752310806 (Tel: 5809162722)

📍

Updated Business Mailing Address August 05, 2016

Registered at 615 LILLY RD NE, SUITE 100, OLYMPIA, WA 985065117 (Tel: 3604914211)

👤

Provider Name / Credentials Updated August 05, 2016

Recorded as CLINTON MILLER, DDS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2016

Dentist (License #31003 in TX)

🟢

Initial NPI Registration & Enumeration November 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417026097

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 07, 2006

Last Update: October 09, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

419 W Southwest Loop 323 Ste 300

Tyler, TX 757017062

Phone: 9032519292

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.