Dental
Johnson, Daryl
Johnson, Daryl was paid $2K by Medicaid between Jan 2018 and Jul 2020, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 93% of everything it billed.
33Billing provider infoJOHNSON, DARYL
MOLALLA, OR 97038
MOLALLA, OR 97038
33aNPI1366591273assigned 01/09/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims71
24DCodes billed2
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#212 of 311
Median peer was paid$6K
This provider vs. median0.2×
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 | 42 | $1K | |
| 2020 | 29 | $476.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 93% | 55 | 55 | $1K |
| D1999 | 7.3% | 16 | 13 | $112.00 |
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.