Dental
Johnson, Kellie
Johnson, Kellie was paid $300K by Medicaid between Dec 2020 and Dec 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 16% of everything it billed.
33Billing provider infoJOHNSON, KELLIE
FT WORTH, TX 76110
FT WORTH, TX 76110
33aNPI1346337375assigned 10/10/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$300K
24GClaims17,311
24DCodes billed19
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#695 of 2,774
Median peer was paid$43K
This provider vs. median7.0×
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 | |
|---|---|---|---|
| 2020 | 111 | $2K | |
| 2021 | 4,153 | $72K | |
| 2022 | 5,323 | $98K | |
| 2023 | 5,387 | $93K | |
| 2024incomplete | 2,337 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,847 | 1,776 | $48K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,340 | 1,277 | $44K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 3,538 | 1,864 | $35K |
| D0274 | Bitewings - four radiographic images | 9.8% | 1,080 | 1,035 | $29K |
| D1208 | Topical application of fluoride, excluding varnish | 8.7% | 2,082 | 1,994 | $26K |
| D1110 | Prophylaxis - adult | 7.7% | 455 | 444 | $23K |
| D0145 | Oral evaluation for a patient under three years of age | 7.5% | 198 | 191 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 7.4% | 2,035 | 1,912 | $22K |
| D1351 | Sealant - per tooth | 7.1% | 892 | 168 | $21K |
| D0272 | Bitewings - two radiographic images | 4.2% | 596 | 569 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 420 | 398 | $10K |
| D2160 | 1.1% | 57 | 13 | $3K |
7 more codes
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.