Johnson, Terry

Johnson, Terry was paid $3K by Medicaid between May 2023 and Jun 2023, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 66% of everything it billed.

33Billing provider infoJOHNSON, TERRY
STAFFORD, VA 22554

33aNPI1548311491assigned 01/16/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims96

24DCodes billed4

24AFirst – last monthMay 2023 – Jun 2023

Compared with peers

Next to other General Practice Dentistry providers in Virginia

Rank by total paid#418 of 549

Median peer was paid$29K

This provider vs. median0.1×

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
2023	96	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	66%	40	32	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	15	15	$393.00
D0274	Bitewings - four radiographic images	12%	20	13	$322.92
D0220	Intraoral - periapical first radiographic image	7.0%	21	16	$188.89

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.