Dental
Holman, Thomas
Holman, Thomas was paid $25K by Medicaid between Mar 2018 and Feb 2020, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 32% of everything it billed.
33Billing provider infoHOLMAN, THOMAS
BENTONVILLE, AR 72712
BENTONVILLE, AR 72712
33aNPI1104188366assigned 06/13/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$25K
24GClaims915
24DCodes billed6
24AFirst – last monthMar 2018 – Feb 2020
Compared with peers
Next to other General Practice Dentistry providers in Arkansas
Rank by total paid#228 of 401
Median peer was paid$36K
This provider vs. median0.7×
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 | 216 | $6K | |
| 2019 | 578 | $16K | |
| 2020 | 121 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 305 | 272 | $8K |
| D1110 | Prophylaxis - adult | 30% | 162 | 141 | $7K |
| D0272 | Bitewings - two radiographic images | 15% | 156 | 135 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 183 | 175 | $4K |
| D1206 | Topical application of fluoride varnish | 7.7% | 97 | 72 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.7% | 12 | 12 | $423.20 |
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.