Dental
Johnson, Kenneth
Johnson, Kenneth was paid $2.78M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 23% of everything it billed.
33Billing provider infoJOHNSON, KENNETH
TUPELO, MS 38804
TUPELO, MS 38804
33aNPI1497836704assigned 10/17/2006
33bProvider typePediatric Dentist
28Total paid$2.78M
24GClaims83,511
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#10 of 81
Median peer was paid$580K
This provider vs. median4.8×
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 | 19,928 | $355K | |
| 2019 | 12,065 | $337K | |
| 2020 | 7,567 | $227K | |
| 2021 | 10,107 | $423K | |
| 2022 | 11,509 | $480K | |
| 2023 | 11,057 | $483K | |
| 2024incomplete | 11,278 | $475K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 23% | 4,936 | 1,173 | $636K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 18,100 | 15,098 | $471K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 16,710 | 13,776 | $373K |
| D1206 | Topical application of fluoride varnish | 11% | 13,994 | 12,124 | $305K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.3% | 1,816 | 1,158 | $175K |
| D0272 | Bitewings - two radiographic images | 5.5% | 9,291 | 7,277 | $152K |
| D0330 | Panoramic radiographic image | 5.0% | 2,900 | 2,432 | $139K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 4,289 | 3,297 | $110K |
| D7140 | Extraction, erupted tooth or exposed root | 3.7% | 1,372 | 653 | $102K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 2,620 | 2,280 | $99K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 1,076 | 753 | $87K |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 3,998 | 2,826 | $47K |
5 more codes
| D1351 | Sealant - per tooth | 1.2% | 1,439 | $35K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.2% | 367 | $34K |
| D0140 | Limited oral evaluation - problem focused | <1% | 231 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 311 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 61 | $2K |
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.