JASENNA JOHNSON, DDS, PLLC
NPI: 1629606702
· SILER CITY, NC 27344
· Dental Clinic/Center
· NPI assigned 04/01/2020
$396K
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, JASENNA (ORTHODONTIST/OWNER) |
| NPI Enumeration Date | 04/01/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14 |
$685.72 |
| 2021 |
387 |
$32K |
| 2022 |
1,249 |
$96K |
| 2023 |
1,423 |
$129K |
| 2024 |
1,513 |
$140K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
3,722 |
3,584 |
$357K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
562 |
546 |
$24K |
| D0330 |
Panoramic radiographic image |
135 |
128 |
$7K |
| D0340 |
|
76 |
71 |
$4K |
| D0470 |
|
76 |
71 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
15 |
14 |
$377.44 |