Dental
Johnson, Racquel
Johnson, Racquel was paid $371K by Medicaid between Jan 2018 and Sep 2019, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoJOHNSON, RACQUEL
SUMMERVILLE, SC 29485
SUMMERVILLE, SC 29485
33aNPI1932185790assigned 12/22/2005
33bProvider typePediatric Dentist
28Total paid$371K
24GClaims15,141
24DCodes billed21
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#62 of 86
Median peer was paid$1.24M
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 | 10,635 | $258K | |
| 2019 | 4,506 | $113K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 2,465 | 2,465 | $87K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 2,466 | 2,466 | $61K |
| D1351 | Sealant - per tooth | 16% | 2,392 | 697 | $58K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 2,124 | 2,124 | $52K |
| D0330 | Panoramic radiographic image | 5.4% | 456 | 456 | $20K |
| D0272 | Bitewings - two radiographic images | 3.6% | 956 | 956 | $14K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.5% | 212 | 130 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 704 | 668 | $11K |
| D1206 | Topical application of fluoride varnish | 2.7% | 585 | 585 | $10K |
| D0601 | 2.6% | 996 | 996 | $10K | |
| D1110 | Prophylaxis - adult | 2.5% | 206 | 206 | $9K |
| D0602 | 1.6% | 600 | 600 | $6K |
9 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 193 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 77 | $4K |
| D1353 | <1% | 348 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 52 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 86 | $2K |
| D0240 | <1% | 87 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 39 | $955.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 55 | $480.00 |
| D0603 | <1% | 42 | $420.00 |
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.