Supplier
Johnson Family Dental Care LLC
Johnson Family Dental Care LLC was paid $132K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.
33Billing provider infoJOHNSON FAMILY DENTAL CARE LLC
MARSHALL, MN 56258
MARSHALL, MN 56258
33aNPI1750651527assigned 01/10/2012
33bProvider typeCustomized Equipment (DME)
28Total paid$132K
24GClaims4,549
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Customized Equipment (DME) providers in Minnesota
Rank by total paid#24 of 32
Median peer was paid$378K
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 | |
|---|---|---|---|
| 2018 | 262 | $781.58 | |
| 2019 | 310 | $6K | |
| 2020 | 430 | $11K | |
| 2021 | 704 | $17K | |
| 2022 | 877 | $28K | |
| 2023 | 1,318 | $47K | |
| 2024incomplete | 648 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 1,763 | 1,724 | $44K |
| D1110 | Prophylaxis - adult | 30% | 823 | 805 | $39K |
| D1206 | Topical application of fluoride varnish | 21% | 1,319 | 1,293 | $28K |
| D0274 | Bitewings - four radiographic images | 9.3% | 344 | 338 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.3% | 278 | 276 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 22 | 12 | $709.24 |
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.
From NPPES
Who's on the registration
Authorized officialJOHNSON, PAUL (OWNER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.