M. JOHNSON DENTAL CORPORATION
NPI: 1780247155
· SAN DIEGO, CA 92109
· Voluntary or Charitable Agency
· NPI assigned 04/21/2019
Provider Details
| Authorized Official | JOHNSON, MALIEKA (OWNER PRESIDENT) |
| NPI Enumeration Date | 04/21/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
245 |
$17K |
| 2020 |
179 |
$17K |
| 2021 |
61 |
$8K |
| 2022 |
95 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9920 |
|
288 |
282 |
$36K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
128 |
128 |
$8K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$785.00 |
| D1206 |
Topical application of fluoride varnish |
49 |
49 |
$736.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
47 |
31 |
$720.90 |
| D1330 |
|
18 |
18 |
$0.00 |
| D1310 |
|
20 |
16 |
$0.00 |