HOLTHUS, JAY
NPI: 1346277985
· LEWISBURG, PA 17837
· Pediatric Dentist
· NPI assigned 06/27/2006
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 |