Medicaid Provider Spending

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

FUSION DENTAL AT CLEAR CREEK PLLC

NPI: 1851702872 · KILLEEN, TX 76549 · Dentist · NPI assigned 05/13/2014

$86K
Total Medicaid Paid
4,442
Total Claims
4,014
Beneficiaries
12
Codes Billed
2020-12
First Month
2024-07
Last Month

Provider Details

Authorized OfficialJOHNSON, JOHNNY (OWNER/DENTIST)
NPI Enumeration Date05/13/2014

Related Entities

Other providers sharing the same authorized official: JOHNSON, JOHNNY

ProviderCityStateTotal Paid
JOHNNY E JOHNSON JR M D P C DENVER CO $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 69 $1K
2021 728 $14K
2022 744 $10K
2023 2,192 $49K
2024 709 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 932 871 $22K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 253 105 $20K
D1120 Prophylaxis - child 582 542 $17K
D1208 Topical application of fluoride, excluding varnish 922 863 $11K
D1110 Prophylaxis - adult 226 206 $10K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 121 107 $3K
D0274 Bitewings - four radiographic images 115 95 $2K
D1206 Topical application of fluoride varnish 81 79 $895.23
D0272 Bitewings - two radiographic images 16 14 $303.94
D0140 Limited oral evaluation - problem focused 14 12 $187.74
D0603 1,025 966 $0.00
D0602 155 154 $0.00