Dental
Johnson, Jon
Johnson, Jon was paid $187K by Medicaid between Jan 2018 and Apr 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoJOHNSON, JON
MT STERLING, KY 40353
MT STERLING, KY 40353
33aNPI1760765770assigned 09/26/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$187K
24GClaims6,685
24DCodes billed13
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Kentucky
Rank by total paid#176 of 462
Median peer was paid$106K
This provider vs. median1.8×
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 | 1,668 | $43K | |
| 2019 | 1,678 | $43K | |
| 2020 | 1,199 | $33K | |
| 2021 | 978 | $27K | |
| 2022 | 612 | $19K | |
| 2023 | 418 | $16K | |
| 2024incomplete | 132 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 1,363 | 1,344 | $56K |
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 1,774 | 1,747 | $45K |
| D0274 | Bitewings - four radiographic images | 15% | 1,167 | 1,149 | $27K |
| D0330 | Panoramic radiographic image | 13% | 698 | 686 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 670 | 656 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.3% | 163 | 108 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 192 | 187 | $7K |
| D1206 | Topical application of fluoride varnish | 3.3% | 419 | 416 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 61 | 60 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 120 | 117 | $775.19 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 19 | 13 | $690.58 |
| D9110 | <1% | 26 | 26 | $525.42 |
1 more codes
| D9986 | 0% | 13 | $0.00 |
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.