Johnson, Dwight

Johnson, Dwight was paid $115K by Medicaid between Jul 2019 and Sep 2023, across 17 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.

33Billing provider infoJOHNSON, DWIGHT
GRANDVIEW, MO 64030

33aNPI1912487505assigned 08/14/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$115K

24GClaims3,211

24DCodes billed17

24AFirst – last monthJul 2019 – Sep 2023

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#112 of 260

Median peer was paid$78K

This provider vs. median1.5×

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
2019	1,327	$35K
2020	1,320	$54K
2021	142	$6K
2022	246	$6K
2023	176	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	24%	801	733	$28K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	21%	382	167	$24K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	12%	183	72	$13K
D0210	Intraoral - complete series of radiographic images	11%	316	282	$12K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	5.7%	85	35	$7K
D0140	Limited oral evaluation - problem focused	5.1%	163	153	$6K
D1351	Sealant - per tooth	5.0%	335	67	$6K
D0274	Bitewings - four radiographic images	4.6%	283	267	$5K
D1110	Prophylaxis - adult	3.6%	110	106	$4K
D1120	Dental cleaning, childProphylaxis - child	3.2%	198	190	$4K
D1208	Topical application of fluoride, excluding varnish	1.3%	142	136	$2K
D2394		1.3%	16	13	$1K

5 more codes

D0120	Dental checkup, returning patient	<1%	42	$887.31
D0220	Intraoral - periapical first radiographic image	<1%	86	$713.92
D1206	Topical application of fluoride varnish	<1%	44	$534.98
D0272	Bitewings - two radiographic images	<1%	12	$177.45
D0230	Intraoral - periapical each additional radiographic image	<1%	13	$86.93

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.