Dental
DRS Ebenezer & Rachel Johnson DDS INC
DRS Ebenezer & Rachel Johnson DDS INC was paid $193K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D2140, — 27% of everything it billed.
33Billing provider infoDRS EBENEZER & RACHEL JOHNSON DDS INC
RIALTO, CA 92376
RIALTO, CA 92376
33aNPI1801085501assigned 10/18/2007
33bProvider typeDentist
28Total paid$193K
24GClaims11,152
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,146 of 2,314
Median peer was paid$185K
This provider vs. median1.0×
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 | 1,741 | $38K | |
| 2019 | 2,187 | $43K | |
| 2020 | 1,306 | $18K | |
| 2021 | 657 | $10K | |
| 2022 | 1,783 | $29K | |
| 2023 | 1,695 | $25K | |
| 2024incomplete | 1,783 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2140 | 27% | 954 | 415 | $51K | |
| D0350 | 15% | 2,960 | 1,207 | $28K | |
| D4910 | 12% | 301 | 301 | $23K | |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 4,996 | 1,345 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.7% | 303 | 302 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 243 | 243 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 715 | 707 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 4.2% | 179 | 179 | $8K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.9% | 83 | 51 | $6K |
| D1110 | Prophylaxis - adult | 2.1% | 53 | 53 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.3% | 66 | 66 | $2K |
| D0272 | Bitewings - two radiographic images | 1.1% | 185 | 182 | $2K |
4 more codes
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, RACHEL (DENTIST / OWNER)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky | Seattle, WA | $18.77M |
| Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky | Indianapolis, IN | $3.58M |
| DRS Ebenezer & Rachel Johnson DDS INC | Montclair, CA | $70K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.