Johnsen, Eric

Johnsen, Eric was paid $19K by Medicaid between Mar 2019 and Nov 2024, across 5 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 65% of everything it billed.

33Billing provider infoJOHNSEN, ERIC
PORTSMOUTH, RI 02871

33aNPI1598883092assigned 03/26/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$19K

24GClaims627

24DCodes billed5

24AFirst – last monthMar 2019 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Rhode Island

Rank by total paid#61 of 86

Median peer was paid$77K

This provider vs. median0.2×

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
2019	13	$324.00
2020	55	$1K
2021	51	$2K
2022	68	$2K
2023	178	$6K
2024incomplete	262	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	65%	391	370	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	114	114	$2K
D1110	Prophylaxis - adult	9.3%	43	43	$2K
D1120	Dental cleaning, childProphylaxis - child	8.6%	39	39	$2K
D0274	Bitewings - four radiographic images	5.5%	40	40	$1K

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.