Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › MARSHALL › JOHNSON FAMILY DENTAL CARE LLC

JOHNSON FAMILY DENTAL CARE LLC

NPI: 1750651527 · MARSHALL, MN 56258 · Customized Equipment (DME) · NPI assigned 01/10/2012

$132K
Total Medicaid Paid
4,549
Total Claims
4,448
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, PAUL (OWNER)
NPI Enumeration Date01/10/2012

Related Entities

Other providers sharing the same authorized official: JOHNSON, PAUL

ProviderCityStateTotal Paid
UNBEFUDDLED, LLC NAMPA ID $4.60M
PAUL A. JOHNSON DDS INC WEST SACRAMENTO CA $1.66M
RURAL RADIOLOGY ASSOCIATES TAOS TAOS NM $334K
PAUL R JOHNSON MDFACSPC CHESTERTOWN MD $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 262 $781.58
2019 310 $6K
2020 430 $11K
2021 704 $17K
2022 877 $28K
2023 1,318 $47K
2024 648 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,763 1,724 $44K
D1110 Prophylaxis - adult 823 805 $39K
D1206 Topical application of fluoride varnish 1,319 1,293 $28K
D0274 Bitewings - four radiographic images 344 338 $12K
D1120 Prophylaxis - child 278 276 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 22 12 $709.24