Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › MONTCLAIR › DRS EBENEZER & RACHEL JOHNSON DDS INC

DRS EBENEZER & RACHEL JOHNSON DDS INC

NPI: 1073780128 · MONTCLAIR, CA 91763 · 122300000X

$70K
Total Medicaid Paid
4,596
Total Claims
2,246
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,184 $18K
2019 608 $8K
2020 460 $5K
2021 847 $12K
2022 483 $7K
2023 812 $16K
2024 202 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 373 373 $21K
D0230 2,314 425 $10K
D2140 162 88 $9K
D1208 597 597 $7K
D0350 722 349 $7K
D1110 57 57 $4K
D1120 126 126 $4K
D0150 35 35 $2K
D2150 25 13 $2K
D0210 26 26 $1K
D0274 52 52 $1K
D0220 91 89 $1K
D0272 16 16 $192.00