Dental
Johnson, Jeffery
Johnson, Jeffery was paid $317K by Medicaid between Jan 2018 and Jul 2020, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.
33Billing provider infoJOHNSON, JEFFERY
POTOSI, MO 63664
POTOSI, MO 63664
33aNPI1346698396assigned 06/01/2016
33bProvider typeDentist
28Total paid$317K
24GClaims7,369
24DCodes billed15
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#80 of 284
Median peer was paid$109K
This provider vs. median2.9×
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 | 2,269 | $122K | |
| 2019 | 4,065 | $157K | |
| 2020 | 1,035 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,031 | 1,026 | $41K |
| D1206 | Topical application of fluoride varnish | 13% | 1,617 | 1,607 | $41K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 283 | 198 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,251 | 1,243 | $39K |
| D1110 | Prophylaxis - adult | 11% | 668 | 661 | $36K |
| D0330 | Panoramic radiographic image | 9.3% | 449 | 434 | $30K |
| D7140 | Extraction, erupted tooth or exposed root | 8.1% | 350 | 160 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 358 | 354 | $19K |
| D0272 | Bitewings - two radiographic images | 4.4% | 515 | 514 | $14K |
| D0274 | Bitewings - four radiographic images | 3.6% | 305 | 299 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 86 | 72 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 299 | 290 | $5K |
3 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.