Vip Smiles Johnson Dental INC

Vip Smiles Johnson Dental INC was paid $24K by Medicaid between Jan 2018 and Feb 2020, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.

33Billing provider infoVIP SMILES JOHNSON DENTAL INC
MAPLE HEIGHTS, OH 44137

33aNPI1497081459assigned 10/27/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$24K

24GClaims1,485

24DCodes billed8

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#510 of 870

Median peer was paid$40K

This provider vs. median0.6×

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	607	$9K
2019	729	$13K
2020	149	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	30%	310	267	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	446	396	$6K
D1208	Topical application of fluoride, excluding varnish	12%	247	213	$3K
D0274	Bitewings - four radiographic images	12%	206	178	$3K
D1120	Dental cleaning, childProphylaxis - child	12%	184	158	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4.8%	32	13	$1K
D0150	Comprehensive oral evaluation - new or established patient	3.2%	31	29	$764.15
D0272	Bitewings - two radiographic images	1.0%	29	25	$240.00

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.

From NPPES

Who's on the registration

Authorized officialJOHNSON, LUCIA (CHAIRMAN)