HOLMAN, THOMAS
NPI: 1104188366
· BENTONVILLE, AR 72712
· General Practice Dentistry
· NPI assigned 06/13/2012
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
216 |
$6K |
| 2019 |
578 |
$16K |
| 2020 |
121 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
305 |
272 |
$8K |
| D1110 |
Prophylaxis - adult |
162 |
141 |
$7K |
| D0272 |
Bitewings - two radiographic images |
156 |
135 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
183 |
175 |
$4K |
| D1206 |
Topical application of fluoride varnish |
97 |
72 |
$2K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$423.20 |