DRS EBENEZER & RACHEL JOHNSON DDS INC
NPI: 1073780128
· MONTCLAIR, CA 91763
· Dentist
· NPI assigned 05/08/2008
Provider Details
Related Entities
Other providers sharing the same authorized official: JOHNSON, RACHEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
373 |
373 |
$21K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,314 |
425 |
$10K |
| D2140 |
|
162 |
88 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
597 |
597 |
$7K |
| D0350 |
|
722 |
349 |
$7K |
| D1110 |
Prophylaxis - adult |
57 |
57 |
$4K |
| D1120 |
Prophylaxis - child |
126 |
126 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
35 |
35 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
25 |
13 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
26 |
26 |
$1K |
| D0274 |
Bitewings - four radiographic images |
52 |
52 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
91 |
89 |
$1K |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$192.00 |