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
CLEVELAND, MS 38732
33aNPI1619985272assigned 08/03/2006
33bProvider typeGeneral Practice Dentistry
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
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 | |
|---|---|---|---|
| 2018 | 1,660 | $33K | |
| 2019 | 1,047 | $26K | |
| 2020 | 1,835 | $40K | |
| 2021 | 230 | $5K | |
| 2022 | 24 | $721.44 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.