JOHNNY STARKEY DDS, PC
NPI: 1447467410
· BROKEN ARROW, OK 74012
· Pediatric Dentist
· NPI assigned 05/17/2007
$232K
Total Medicaid Paid
Provider Details
| Authorized Official | STARKEY, JOHNNY (PRESIDENT) |
| NPI Enumeration Date | 05/17/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
851 |
$19K |
| 2022 |
3,551 |
$87K |
| 2023 |
3,328 |
$80K |
| 2024 |
1,859 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,058 |
1,963 |
$60K |
| D0120 |
Periodic oral evaluation - established patient |
2,928 |
2,804 |
$59K |
| D1110 |
Prophylaxis - adult |
912 |
881 |
$39K |
| D1206 |
Topical application of fluoride varnish |
1,924 |
1,853 |
$32K |
| D0272 |
Bitewings - two radiographic images |
1,152 |
1,101 |
$20K |
| D0330 |
Panoramic radiographic image |
358 |
358 |
$16K |
| D1351 |
Sealant - per tooth |
117 |
24 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
60 |
60 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
68 |
68 |
$899.16 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$335.50 |