JOHNSON, MARK
NPI: 1629121496
· THAYNE, WY 83127
· General Practice Dentistry
· NPI assigned 01/18/2007
$103K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
852 |
$27K |
| 2019 |
710 |
$23K |
| 2020 |
440 |
$15K |
| 2021 |
737 |
$18K |
| 2022 |
464 |
$15K |
| 2023 |
189 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,384 |
1,288 |
$40K |
| D1120 |
Prophylaxis - child |
903 |
844 |
$30K |
| D1206 |
Topical application of fluoride varnish |
710 |
682 |
$22K |
| D1110 |
Prophylaxis - adult |
150 |
136 |
$6K |
| D0272 |
Bitewings - two radiographic images |
203 |
173 |
$4K |
| D0274 |
Bitewings - four radiographic images |
30 |
30 |
$805.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$20.00 |