HOLMES, LES
NPI: 1033226907
· GLADSTONE, MO 64118
· General Practice Dentistry
· NPI assigned 08/24/2006
$561.42
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17 |
$117.78 |
| 2019 |
45 |
$443.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
50 |
41 |
$347.02 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$214.40 |