Johnson, Vincent

Johnson, Vincent was paid $8K by Medicaid between Apr 2018 and Apr 2022, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 56% of everything it billed.

33Billing provider infoJOHNSON, VINCENT
TAWAS CITY, MI 48763

33aNPI1982708129assigned 09/08/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims276

24DCodes billed4

24AFirst – last monthApr 2018 – Apr 2022

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#896 of 1,554

Median peer was paid$15K

This provider vs. median0.5×

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
2018	50	$1K
2019	53	$1K
2020	57	$2K
2021	76	$2K
2022	40	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	56%	187	187	$4K
D1120	Dental cleaning, childProphylaxis - child	30%	63	63	$2K
D1110	Prophylaxis - adult	9.8%	14	14	$756.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.0%	12	12	$308.00

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.