M. Johnson Dental Corporation

M. Johnson Dental Corporation was paid $48K by Medicaid between Jul 2019 and Feb 2022, across 8 billing codes. Its largest line is D9920, — 75% of everything it billed.

33Billing provider infoM. JOHNSON DENTAL CORPORATION
SAN DIEGO, CA 92109

33aNPI1780247155assigned 04/21/2019

33bProvider typeVoluntary or Charitable Agency

28Total paid$48K

24GClaims580

24DCodes billed8

24AFirst – last monthJul 2019 – Feb 2022

Compared with peers

Next to other Voluntary or Charitable Agency providers in California

Rank by total paid#27 of 35

Median peer was paid$847K

This provider vs. median0.1×

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
2019	245	$17K
2020	179	$17K
2021	61	$8K
2022	95	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9920		75%	288	282	$36K
D0150	Comprehensive oral evaluation - new or established patient	18%	128	128	$8K
D1110	Prophylaxis - adult	2.6%	14	14	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.6%	16	16	$785.00
D1206	Topical application of fluoride varnish	1.5%	49	49	$736.00
D0230	Intraoral - periapical each additional radiographic image	1.5%	47	31	$720.90
D1330		0%	18	18	$0.00
D1310		0%	20	16	$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.

From NPPES

Who's on the registration

Authorized officialJOHNSON, MALIEKA (OWNER PRESIDENT)