JOHNSON HEALTH CENTER
NPI: 1871760710
· MADISON HEIGHTS, VA 24572
· Dental Clinic/Center
· NPI assigned 05/09/2008
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | CAMPBELL, GARY (CEO) |
| NPI Enumeration Date | 05/09/2008 |
Related Entities
Other providers sharing the same authorized official: CAMPBELL, GARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$198.64 |
| 2019 |
2,765 |
$48K |
| 2020 |
2,406 |
$40K |
| 2021 |
1,625 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,033 |
1,016 |
$40K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
845 |
833 |
$24K |
| D0274 |
Bitewings - four radiographic images |
997 |
981 |
$18K |
| D0330 |
Panoramic radiographic image |
810 |
799 |
$13K |
| D0140 |
Limited oral evaluation - problem focused |
688 |
669 |
$10K |
| D7140 |
Extraction, erupted tooth or exposed root |
502 |
251 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
238 |
232 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
824 |
768 |
$3K |
| D9215 |
|
786 |
735 |
$0.00 |
| D9995 |
|
69 |
68 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
12 |
$0.00 |
| D1999 |
|
30 |
30 |
$0.00 |