Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THOMAS M. HOLMAN, DDS, PA

NPI: 1386070316 · CENTERTON, AR 72719 · Dental Clinic/Center · NPI assigned 09/23/2013

$97K
Total Medicaid Paid
3,751
Total Claims
3,555
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHOLMAN, THOMAS (PRESIDENT)
NPI Enumeration Date09/23/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 722 $19K
2019 203 $4K
2020 445 $13K
2021 516 $13K
2022 782 $21K
2023 861 $21K
2024 222 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 668 640 $30K
D0120 Periodic oral evaluation - established patient 1,036 980 $26K
D0272 Bitewings - two radiographic images 830 780 $17K
D1206 Topical application of fluoride varnish 713 705 $13K
D1208 Topical application of fluoride, excluding varnish 246 199 $5K
D0220 Intraoral - periapical first radiographic image 139 134 $2K
D0210 Intraoral - complete series of radiographic images 27 27 $2K
D0230 Intraoral - periapical each additional radiographic image 92 90 $1K