Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JAMES E JOHNSON DDS PS

NPI: 1699126292 · ENUMCLAW, WA 98022 · Dentist · NPI assigned 06/24/2016

$7K
Total Medicaid Paid
612
Total Claims
553
Beneficiaries
7
Codes Billed
2018-02
First Month
2021-11
Last Month

Provider Details

Authorized OfficialSULLIVAN, KIM (OFFICE MANAGER)
NPI Enumeration Date06/24/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44 $1K
2020 361 $5K
2021 207 $607.82

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 130 129 $3K
D1999 361 310 $2K
D1110 Prophylaxis - adult 28 27 $883.81
D0220 Intraoral - periapical first radiographic image 38 38 $275.80
D1206 Topical application of fluoride varnish 16 16 $212.00
D0274 Bitewings - four radiographic images 13 13 $145.41
D0230 Intraoral - periapical each additional radiographic image 26 20 $47.76