Johnson, David

Johnson, David was paid $39K by Medicaid between Oct 2018 and Jan 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 70% of everything it billed.

33Billing provider infoJOHNSON, DAVID
MAGNA, UT 84044

33aNPI1821385097assigned 07/07/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$39K

24GClaims1,059

24DCodes billed10

24AFirst – last monthOct 2018 – Jan 2024

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#88 of 225

Median peer was paid$21K

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	25	$2K
2019	119	$5K
2020	238	$9K
2021	159	$2K
2022	227	$10K
2023	266	$9K
2024incomplete	25	$790.48

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	70%	230	230	$27K
D0274	Bitewings - four radiographic images	6.3%	163	163	$2K
D0150	Comprehensive oral evaluation - new or established patient	5.2%	13	13	$2K
D1120	Dental cleaning, childProphylaxis - child	4.8%	213	213	$2K
D1206	Topical application of fluoride varnish	4.4%	335	335	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.3%	27	16	$1K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	3.1%	20	14	$1K
D9248		2.8%	13	12	$1K
D0272	Bitewings - two radiographic images	<1%	32	32	$144.01
D0220	Intraoral - periapical first radiographic image	<1%	13	13	$55.92

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.