GABRIEL B. HOLDWICK, DDS, PC
NPI: 1366989667
· HARBOR BEACH, MI 48441
· Dental Clinic/Center
· NPI assigned 01/24/2017
$100K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
146 |
$4K |
| 2021 |
239 |
$6K |
| 2022 |
433 |
$13K |
| 2023 |
883 |
$33K |
| 2024 |
1,176 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
457 |
457 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
884 |
884 |
$24K |
| D1120 |
Prophylaxis - child |
457 |
457 |
$18K |
| D1206 |
Topical application of fluoride varnish |
641 |
641 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
145 |
145 |
$6K |
| D0274 |
Bitewings - four radiographic images |
142 |
142 |
$5K |
| D0272 |
Bitewings - two radiographic images |
96 |
96 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
40 |
38 |
$2K |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$1K |