Holt, Theresa

Holt, Theresa was paid $72K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.

33Billing provider infoHOLT, THERESA
FAIRFIELD, IA 52556

33aNPI1285777037assigned 02/14/2007

33bProvider typeDentist

28Total paid$72K

24GClaims2,307

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in Iowa

Rank by total paid#90 of 268

Median peer was paid$26K

This provider vs. median2.7×

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	119	$3K
2019	12	$394.02
2020	29	$587.87
2021	61	$2K
2022	619	$19K
2023	835	$26K
2024incomplete	632	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	36%	664	657	$26K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	1,038	1,023	$21K
D2391	Resin-based composite - one surface, posterior, primary or permanent	12%	157	116	$9K
D1120	Dental cleaning, childProphylaxis - child	12%	240	234	$8K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.5%	52	39	$4K
D0274	Bitewings - four radiographic images	2.6%	73	71	$2K
D1208	Topical application of fluoride, excluding varnish	2.1%	83	80	$2K

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.