HOLLAND, TIM
NPI: 1013064468
· OWATONNA, MN 55060
· Dentist
· NPI assigned 01/05/2007
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
74 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
28 |
28 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
34 |
26 |
$0.00 |