Clinic
Nisonger Dental Program at Johnstown Road
Nisonger Dental Program at Johnstown Road was paid $787K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoNISONGER DENTAL PROGRAM AT JOHNSTOWN ROAD
COLUMBUS, OH 43219
COLUMBUS, OH 43219
33aNPI1265749899assigned 09/02/2010
33bProvider typeDental Clinic/Center
28Total paid$787K
24GClaims40,468
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Ohio
Rank by total paid#37 of 111
Median peer was paid$236K
This provider vs. median3.3×
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 | 6,073 | $88K | |
| 2019 | 4,456 | $96K | |
| 2020 | 4,699 | $75K | |
| 2021 | 9,548 | $186K | |
| 2022 | 9,916 | $208K | |
| 2023 | 3,833 | $69K | |
| 2024incomplete | 1,943 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 4,778 | 4,580 | $151K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 7,796 | 7,476 | $133K |
| D9999 | Unspecified adjunctive procedure, by report | 12% | 819 | 729 | $96K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 4,448 | 4,260 | $94K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 5,634 | 5,398 | $89K |
| D1351 | Sealant - per tooth | 6.6% | 2,438 | 659 | $52K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 1,244 | 1,179 | $33K |
| D0272 | Bitewings - two radiographic images | 3.2% | 2,424 | 2,329 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 3,655 | 1,409 | $22K |
| D0274 | Bitewings - four radiographic images | 2.7% | 1,125 | 1,084 | $21K |
| D0330 | Panoramic radiographic image | 2.1% | 427 | 379 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 323 | 260 | $16K |
11 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.5% | 118 | $12K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,757 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 111 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 59 | $3K |
| D2931 | <1% | 23 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,887 | $2K |
| D2332 | <1% | 22 | $2K | |
| D2331 | <1% | 24 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 72 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 168 | $518.10 |
| D1330 | 0% | 1,116 | $0.00 |
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 officialSOLIS, DIEGO (CLINIC DIRECTOR)