Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Johnson, Daryl

Johnson, Daryl was paid $104K by Medicaid between Jan 2018 and Jun 2022, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.

33Billing provider infoJOHNSON, DARYL
CLEVELAND, MS 38732
33aNPI1619985272assigned 08/03/2006
28Total paid$104K
24GClaims4,796
24DCodes billed11
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers

Next to other General Practice Dentistry providers in Mississippi

Rank by total paid#172 of 379
Median peer was paid$78K
This provider vs. median1.3×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,660$33K
20191,047$26K
20201,835$40K
2021230$5K
202224$721.44
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 33% 1,611 1,312 $34K
D1351 Sealant - per tooth 21% 980 124 $22K
D1206 Topical application of fluoride varnish 16% 1,001 862 $17K
D0274 Bitewings - four radiographic images 12% 539 485 $13K
D0330 Panoramic radiographic image 6.0% 198 151 $6K
D1208 Topical application of fluoride, excluding varnish 4.1% 252 233 $4K
D0150 Comprehensive oral evaluation - new or established patient 3.3% 119 89 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.3% 37 14 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.4% 31 13 $1K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient <1% 12 12 $342.00
D0272 Bitewings - two radiographic images <1% 16 16 $277.81

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.