Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KIRBY M. JOHNSON, D.D.S., LLC

NPI: 1841686359 · SPICER, MN 56288 · General Practice Dentistry · NPI assigned 04/10/2015

$42K
Total Medicaid Paid
1,745
Total Claims
1,683
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialJOHNSON, KIRBY (PRESIDENT)
NPI Enumeration Date04/10/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 372 $596.73
2019 34 $624.21
2020 210 $5K
2021 259 $7K
2022 210 $6K
2023 436 $13K
2024 224 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 742 715 $17K
D1110 Prophylaxis - adult 312 302 $13K
D1206 Topical application of fluoride varnish 552 534 $10K
D0274 Bitewings - four radiographic images 79 73 $2K
D1120 Prophylaxis - child 60 59 $378.05