Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DJR2 PROFESSIONAL LIMITED LIABILITY COMPANY

NPI: 1831606094 · DANVILLE, KY 40422 · Pediatric Dentist · NPI assigned 01/09/2018

$1K
Total Medicaid Paid
52
Total Claims
52
Beneficiaries
4
Codes Billed
2018-03
First Month
2018-03
Last Month

Provider Details

Authorized OfficialJOHNSON, JEFFREY (MANAGER)
NPI Enumeration Date01/09/2018

Related Entities

Other providers sharing the same authorized official: JOHNSON, JEFFREY

ProviderCityStateTotal Paid
CITY OF NEWPORT NEWS NEWPORT NEWS VA $5.72M
ARTISAN PEDIATRIC EYECARE LLC BOISE ID $1.38M
JEFFREY C. JOHNSON BOISE ID $330K
TWIN PEAKS MEDICAL P.C. WEST JORDAN UT $211K
DANVILLE PEDIATRIC DENTISTRY, PSC DANVILLE KY $78K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 13 13 $516.70
D0150 Comprehensive oral evaluation - new or established patient 14 14 $338.00
D0272 Bitewings - two radiographic images 12 12 $200.20
D1208 Topical application of fluoride, excluding varnish 13 13 $176.25