JOHNSON, BARTHOLOMEW
NPI: 1144580358
· MARSHALL, MN 56258
· General Practice Dentistry
· NPI assigned 05/22/2012
$721.79
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
32 |
$721.79 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
17 |
15 |
$411.48 |
| D1206 |
Topical application of fluoride varnish |
15 |
14 |
$310.31 |