BRYAN C. JOHNSON, DDS, PC
NPI: 1114067048
· MILBANK, SD 57252
· General Practice Dentistry
· NPI assigned 02/08/2007
$123K
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, BRYAN (PRESIDENT) |
| NPI Enumeration Date | 02/08/2007 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, BRYAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
382 |
$11K |
| 2019 |
324 |
$9K |
| 2020 |
268 |
$8K |
| 2021 |
649 |
$20K |
| 2022 |
670 |
$20K |
| 2023 |
723 |
$23K |
| 2024 |
834 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,185 |
1,173 |
$38K |
| D1120 |
Prophylaxis - child |
657 |
654 |
$28K |
| D1206 |
Topical application of fluoride varnish |
1,309 |
1,298 |
$25K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
417 |
376 |
$17K |
| D1110 |
Prophylaxis - adult |
199 |
198 |
$12K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
18 |
13 |
$2K |
| D0272 |
Bitewings - two radiographic images |
65 |
65 |
$2K |