Medicaid Provider Spending

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

ERIC JOHNSON LLC

NPI: 1881101939 · THORNTON, CO 80229 · Dental Clinic/Center · NPI assigned 01/10/2018

$11K
Total Medicaid Paid
321
Total Claims
321
Beneficiaries
6
Codes Billed
2018-06
First Month
2021-03
Last Month

Provider Details

Authorized OfficialJOHNSON, ERIC (OWNER)
NPI Enumeration Date01/10/2018

Related Entities

Other providers sharing the same authorized official: JOHNSON, ERIC

ProviderCityStateTotal Paid
NORTHERN HUMAN SERVICES CONWAY NH $64.82M
CITY OF BETHEL BETHEL AK $686K
DULUTHTMS, LLC DULUTH MN $229K
ERIC E JOHNSON MD PC PLYMOUTH MA $47K
EYE HEALTH SERVICES, INC SOUTH YARMOUTH MA $42K
SOUTHEAST IDAHO ORTHODONTICS, PLLC POCATELLO ID $39K
MILE HIGH SMILES PLLC DENVER CO $30K
RESNIK MEDICAL ASSOCIATES PC PLYMOUTH MA $11K
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC PROVO UT $7K
MAYFLOWER MEDICAL ASSOCIATES PC PLYMOUTH MA $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31 $1K
2019 89 $4K
2020 102 $3K
2021 99 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 135 135 $5K
D0120 Periodic oral evaluation - established patient 95 95 $2K
D1110 Prophylaxis - adult 33 33 $1K
D0210 Intraoral - complete series of radiographic images 14 14 $1K
D0274 Bitewings - four radiographic images 30 30 $878.38
D0220 Intraoral - periapical first radiographic image 14 14 $168.28