Dental
Johnson, Mark
Johnson, Mark was paid $103K by Medicaid between Jan 2018 and May 2023, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.
33Billing provider infoJOHNSON, MARK
THAYNE, WY 83127
THAYNE, WY 83127
33aNPI1629121496assigned 01/18/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$103K
24GClaims3,392
24DCodes billed7
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other General Practice Dentistry providers in Wyoming
Rank by total paid#11 of 64
Median peer was paid$6K
This provider vs. median16×
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 | 852 | $27K | |
| 2019 | 710 | $23K | |
| 2020 | 440 | $15K | |
| 2021 | 737 | $18K | |
| 2022 | 464 | $15K | |
| 2023 | 189 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 1,384 | 1,288 | $40K |
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 903 | 844 | $30K |
| D1206 | Topical application of fluoride varnish | 21% | 710 | 682 | $22K |
| D1110 | Prophylaxis - adult | 6.0% | 150 | 136 | $6K |
| D0272 | Bitewings - two radiographic images | 4.1% | 203 | 173 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 30 | 30 | $805.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | 12 | $20.00 |
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.