Johnson, Michaela

Johnson, Michaela was paid $156K by Medicaid between Aug 2023 and Dec 2024, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.

33Billing provider infoJOHNSON, MICHAELA
DES MOINES, IA 50316

33aNPI1598443053assigned 07/06/2023

33bProvider typeGeneral Practice Dentistry

28Total paid$156K

24GClaims4,774

24DCodes billed17

24AFirst – last monthAug 2023 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#77 of 437

Median peer was paid$22K

This provider vs. median7.1×

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	1,187	$37K
2024incomplete	3,587	$120K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	29%	590	385	$45K
D1110	Prophylaxis - adult	20%	746	740	$31K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	882	875	$18K
D0274	Bitewings - four radiographic images	8.6%	619	613	$13K
D0150	Comprehensive oral evaluation - new or established patient	6.4%	345	343	$10K
D1206	Topical application of fluoride varnish	5.4%	446	444	$8K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	5.1%	100	84	$8K
D1120	Dental cleaning, childProphylaxis - child	4.9%	231	231	$8K
D2391	Resin-based composite - one surface, posterior, primary or permanent	3.7%	109	86	$6K
D0220	Intraoral - periapical first radiographic image	2.4%	427	420	$4K
D0140	Limited oral evaluation - problem focused	<1%	53	53	$1K
D0210	Intraoral - complete series of radiographic images	<1%	26	26	$1K

5 more codes

D0330	Panoramic radiographic image	<1%	54	$947.65
D4910		<1%	13	$718.48
D0230	Intraoral - periapical each additional radiographic image	<1%	79	$371.91
D0272	Bitewings - two radiographic images	<1%	13	$249.46
D0601		<1%	41	$85.00

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.