JOHNSON FAMILY DENTAL CARE LLC
NPI: 1750651527
· MARSHALL, MN 56258
· 332BC3200X
$132K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
1,763 |
1,724 |
$44K |
| D1110 |
|
823 |
805 |
$39K |
| D1206 |
|
1,319 |
1,293 |
$28K |
| D0274 |
|
344 |
338 |
$12K |
| D1120 |
|
278 |
276 |
$8K |
| D2391 |
|
22 |
12 |
$709.24 |