Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JOHNSON FAMILY DENTISTRY

NPI: 1255752614 · OWENSBORO, KY 42301 · Dentist · NPI assigned 01/02/2014

$73K
Total Medicaid Paid
2,991
Total Claims
2,651
Beneficiaries
10
Codes Billed
2018-01
First Month
2019-07
Last Month

Provider Details

Authorized OfficialJOHNSON, MATTHEW (PARTNER)
NPI Enumeration Date01/02/2014

Related Entities

Other providers sharing the same authorized official: JOHNSON, MATTHEW

ProviderCityStateTotal Paid
MEDICAL ANESTHESIA GROUP, PA MEMPHIS TN $517K
JOHNSON CHIROPRACTIC, INC WARSAW IN $472K
LORING HOSPITAL SAC CITY IA $452K
CHET JOHNSON DRUGS, INC. AMERY WI $31K
NORTHEAST MISSOURI AMBULATORY SURGERY CENTER LLC HANNIBAL MO $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,256 $57K
2019 735 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 893 815 $19K
D1110 Prophylaxis - adult 432 396 $16K
D1120 Prophylaxis - child 394 363 $13K
D1208 Topical application of fluoride, excluding varnish 642 589 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 121 63 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 127 79 $5K
D0274 Bitewings - four radiographic images 202 192 $5K
D0272 Bitewings - two radiographic images 104 95 $2K
D9110 14 13 $304.29
D9986 62 46 $0.00