MARSHALLTOWN FAMILY DENTISTRY
NPI: 1336584846
· MARSHALLTOWN, IA 50158
· General Practice Dentistry
· NPI assigned 05/10/2013
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official JOHNSON, MICHELLE controls 15+ related entities in our dataset. Read more
$123K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: JOHNSON, MICHELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
851 |
$16K |
| 2019 |
988 |
$17K |
| 2020 |
706 |
$13K |
| 2021 |
867 |
$18K |
| 2022 |
906 |
$19K |
| 2023 |
870 |
$19K |
| 2024 |
839 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
2,381 |
2,303 |
$39K |
| D1120 |
Prophylaxis - child |
1,291 |
1,243 |
$36K |
| D0120 |
Periodic oral evaluation - established patient |
1,930 |
1,864 |
$35K |
| D1110 |
Prophylaxis - adult |
347 |
340 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
29 |
$758.03 |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$557.40 |
| D0272 |
Bitewings - two radiographic images |
25 |
25 |
$446.21 |