Dental
Johnson, Cody
Johnson, Cody was paid $2.05M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D0120, dental checkup, returning patient — 49% of everything it billed.
33Billing provider infoJOHNSON, CODY
ST GEORGE, UT 84770
ST GEORGE, UT 84770
33aNPI1023265170assigned 08/20/2008
33bProvider typePediatric Dentist
28Total paid$2.05M
24GClaims67,112
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#14 of 152
Median peer was paid$311K
This provider vs. median6.6×
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 | 12,782 | $334K | |
| 2019 | 9,548 | $283K | |
| 2020 | 9,211 | $302K | |
| 2021 | 11,338 | $361K | |
| 2022 | 10,418 | $337K | |
| 2023 | 7,809 | $242K | |
| 2024incomplete | 6,006 | $185K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 49% | 8,821 | 8,650 | $993K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 9.2% | 2,805 | 984 | $188K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.1% | 1,351 | 1,319 | $165K |
| D2140 | 6.9% | 1,781 | 772 | $141K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.3% | 956 | 343 | $88K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.2% | 8,774 | 8,596 | $86K |
| D0272 | Bitewings - two radiographic images | 3.0% | 8,443 | 8,262 | $61K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 9,839 | 9,517 | $53K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 950 | 918 | $52K |
| D1206 | Topical application of fluoride varnish | 2.1% | 8,659 | 8,501 | $43K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.7% | 948 | 73 | $34K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 8,941 | 8,594 | $31K |
11 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.0% | 310 | $21K |
| D1351 | Sealant - per tooth | <1% | 151 | $20K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 514 | $20K |
| D0330 | Panoramic radiographic image | <1% | 1,570 | $20K |
| D1110 | Prophylaxis - adult | <1% | 730 | $12K |
| D0274 | Bitewings - four radiographic images | <1% | 239 | $5K |
| D9248 | <1% | 122 | $4K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 131 | $3K |
| D9420 | <1% | 148 | $3K | |
| D0350 | <1% | 135 | $1K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 794 | $1K |
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.