Johnson, Kirby

Johnson, Kirby was paid $6K by Medicaid between Feb 2019 and Oct 2019, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 49% of everything it billed.

33Billing provider infoJOHNSON, KIRBY
SPICER, MN 56288

33aNPI1629473442assigned 10/23/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims278

24DCodes billed3

24AFirst – last monthFeb 2019 – Oct 2019

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#233 of 368

Median peer was paid$19K

This provider vs. median0.3×

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
2019	278	$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	49%	126	126	$3K
D1206	Topical application of fluoride varnish	33%	112	112	$2K
D1120	Dental cleaning, childProphylaxis - child	18%	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.