Medicaid Provider Spending

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

JOHNSON, ELBERT

NPI: 1861565947 · GOLDSBORO, NC 27530 · General Practice Dentistry · NPI assigned 11/16/2006

$4K
Total Medicaid Paid
169
Total Claims
169
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 169 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 33 33 $1K
D0140 Limited oral evaluation - problem focused 33 33 $999.14
D0120 Periodic oral evaluation - established patient 40 40 $929.40
D9110 13 13 $485.64
D0220 Intraoral - periapical first radiographic image 25 25 $340.32
D0274 Bitewings - four radiographic images 12 12 $335.50
D1208 Topical application of fluoride, excluding varnish 13 13 $204.36