Dental
Holthus, Jay
Holthus, Jay was paid $9K by Medicaid between Sep 2019 and Nov 2024, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 51% of everything it billed.
33Billing provider infoHOLTHUS, JAY
LEWISBURG, PA 17837
LEWISBURG, PA 17837
33aNPI1346277985assigned 06/27/2006
33bProvider typePediatric Dentist
28Total paid$9K
24GClaims279
24DCodes billed3
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#193 of 237
Median peer was paid$109K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 31 | $1K | |
| 2021 | 12 | $416.00 | |
| 2022 | 31 | $1K | |
| 2024incomplete | 205 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 51% | 113 | 113 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 92 | 92 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 20% | 74 | 74 | $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.