HOLTE-DACOSTA, HELEN
NPI: 1104901677
· DAYTON, OH 45406
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/25/2006
$630K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,237 |
$130K |
| 2019 |
1,998 |
$119K |
| 2020 |
1,215 |
$142K |
| 2021 |
1,214 |
$141K |
| 2022 |
632 |
$90K |
| 2023 |
51 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,254 |
1,239 |
$324K |
| D8030 |
|
2,268 |
2,029 |
$182K |
| D0340 |
|
857 |
841 |
$44K |
| D0330 |
Panoramic radiographic image |
818 |
803 |
$30K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
955 |
937 |
$22K |
| D8680 |
|
80 |
36 |
$13K |
| D0350 |
|
871 |
857 |
$10K |
| D0470 |
|
222 |
222 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
22 |
21 |
$496.76 |