Johnson, Judy

Johnson, Judy was paid $18K by Medicaid between Jan 2018 and Feb 2018, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.

33Billing provider infoJOHNSON, JUDY
WEST HARRISON, NY 10604

33aNPI1912128398assigned 05/01/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$18K

24GClaims530

24DCodes billed8

24AFirst – last monthJan 2018 – Feb 2018

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,429 of 2,184

Median peer was paid$54K

This provider vs. median0.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	530	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	30%	93	93	$5K
D0150	Comprehensive oral evaluation - new or established patient	19%	119	119	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	100	100	$3K
D1351	Sealant - per tooth	12%	51	15	$2K
D1120	Dental cleaning, childProphylaxis - child	12%	48	48	$2K
D0140	Limited oral evaluation - problem focused	4.4%	53	53	$774.20
D1208	Topical application of fluoride, excluding varnish	4.1%	52	52	$722.70
D1206	Topical application of fluoride varnish	1.7%	14	14	$299.70

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.