Dental
DRS Ebenezer & Rachel Johnson DDS INC
DRS Ebenezer & Rachel Johnson DDS INC was paid $70K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.
33Billing provider infoDRS EBENEZER & RACHEL JOHNSON DDS INC
MONTCLAIR, CA 91763
MONTCLAIR, CA 91763
33aNPI1073780128assigned 05/08/2008
33bProvider typeDentist
28Total paid$70K
24GClaims4,596
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,463 of 2,314
Median peer was paid$185K
This provider vs. median0.4×
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 | 1,184 | $18K | |
| 2019 | 608 | $8K | |
| 2020 | 460 | $5K | |
| 2021 | 847 | $12K | |
| 2022 | 483 | $7K | |
| 2023 | 812 | $16K | |
| 2024incomplete | 202 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 373 | 373 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 2,314 | 425 | $10K |
| D2140 | 13% | 162 | 88 | $9K | |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 597 | 597 | $7K |
| D0350 | 9.5% | 722 | 349 | $7K | |
| D1110 | Prophylaxis - adult | 6.3% | 57 | 57 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.2% | 126 | 126 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 35 | 35 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.4% | 25 | 13 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 26 | 26 | $1K |
| D0274 | Bitewings - four radiographic images | 1.5% | 52 | 52 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 91 | 89 | $1K |
1 more codes
| D0272 | Bitewings - two radiographic images | <1% | 16 | $192.00 |
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 officialJOHNSON, RACHEL (CFO)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky | Seattle, WA | $18.77M |
| Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky | Indianapolis, IN | $3.58M |
| DRS Ebenezer & Rachel Johnson DDS INC | Rialto, CA | $193K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.