Holte-Dacosta, Helen

Holte-Dacosta, Helen was paid $630K by Medicaid between Jan 2018 and Oct 2023, across 9 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 51% of everything it billed.

33Billing provider infoHOLTE-DACOSTA, HELEN
DAYTON, OH 45406

33aNPI1104901677assigned 10/25/2006

33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist

28Total paid$630K

24GClaims7,347

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Ohio

Rank by total paid#28 of 72

Median peer was paid$182K

This provider vs. median3.5×

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	2,237	$130K
2019	1,998	$119K
2020	1,215	$142K
2021	1,214	$141K
2022	632	$90K
2023	51	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D8670	Periodic orthodontic treatment visit	51%	1,254	1,239	$324K
D8030		29%	2,268	2,029	$182K
D0340		6.9%	857	841	$44K
D0330	Panoramic radiographic image	4.8%	818	803	$30K
D0150	Comprehensive oral evaluation - new or established patient	3.5%	955	937	$22K
D8680		2.0%	80	36	$13K
D0350		1.6%	871	857	$10K
D0470		<1%	222	222	$5K
D0140	Limited oral evaluation - problem focused	<1%	22	21	$496.76

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.