Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HOLTHUS, JAY
NPI: 1346277985 · LEWISBURG, PA 17837 ·
Pediatric Dentist
· NPI assigned 06/27/2006
$9K
Total Medicaid Paid
279
Total Claims
279
Beneficiaries
3
Codes Billed
2019-09
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
31
$1K
2021
12
$416.00
2022
31
$1K
2024
205
$6K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1120
Prophylaxis - child
113
113
$5K
D0120
Periodic oral evaluation - established patient
92
92
$3K
D1208
Topical application of fluoride, excluding varnish
74
74
$2K