Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DR. FREDERICK A. JOHNSON JR DDS, INC

NPI: 1578022323 · FULLERTON, CA 92832 · Dental Clinic/Center · NPI assigned 03/19/2019

$14K
Total Medicaid Paid
745
Total Claims
504
Beneficiaries
9
Codes Billed
2019-08
First Month
2024-07
Last Month

Provider Details

Authorized OfficialJOHNSON, FREDERICK (DENTIST)
NPI Enumeration Date03/19/2019

Related Entities

Other providers sharing the same authorized official: JOHNSON, FREDERICK

ProviderCityStateTotal Paid
ALBERTA VOLUNTEER FIRE DEPARTMENT ALBERTA VA $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 181 $5K
2020 78 $2K
2021 100 $1K
2022 118 $909.30
2023 163 $3K
2024 105 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 61 61 $4K
D1208 Topical application of fluoride, excluding varnish 202 196 $2K
D0120 Periodic oral evaluation - established patient 26 26 $2K
D1120 Prophylaxis - child 54 53 $2K
D0230 Intraoral - periapical each additional radiographic image 300 67 $1K
D0210 Intraoral - complete series of radiographic images 25 25 $1K
D0350 52 51 $451.20
D0274 Bitewings - four radiographic images 13 13 $216.00
D0272 Bitewings - two radiographic images 12 12 $144.00