Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ND › DEVILS LAKE › JOHNSON FAMILY DENTISTRY, PC

JOHNSON FAMILY DENTISTRY, PC

NPI: 1780851014 · DEVILS LAKE, ND 58301 · General Practice Dentistry · NPI assigned 05/15/2008

$3K
Total Medicaid Paid
116
Total Claims
112
Beneficiaries
2
Codes Billed
2018-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialANDREWS, KIRSTEN (OWNER)
NPI Enumeration Date05/15/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $642.05
2019 26 $450.10
2020 26 $595.14
2023 26 $705.12
2024 12 $319.35

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 62 62 $1K
D0120 Periodic oral evaluation - established patient 54 50 $1K