Dental
Keith Holm LLC
Keith Holm LLC was paid $545K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoKEITH HOLM LLC
EL MIRAGE, AZ 85335
EL MIRAGE, AZ 85335
33aNPI1417441767assigned 06/20/2018
33bProvider typeDentist
28Total paid$545K
24GClaims88,890
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#24 of 468
Median peer was paid$686.85
This provider vs. median794×
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 | |
|---|---|---|---|
| 2018 | 781 | $10K | |
| 2019 | 12,805 | $94K | |
| 2020 | 15,178 | $86K | |
| 2021 | 17,724 | $99K | |
| 2022 | 14,463 | $85K | |
| 2023 | 13,973 | $85K | |
| 2024incomplete | 13,966 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 9,888 | 9,818 | $83K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 4,225 | 1,998 | $82K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 10,550 | 10,477 | $59K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.3% | 1,792 | 687 | $45K |
| D0272 | Bitewings - two radiographic images | 5.7% | 6,816 | 6,774 | $31K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 11,312 | 11,168 | $30K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 10,609 | 10,419 | $24K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.3% | 1,473 | 589 | $24K |
| D1206 | Topical application of fluoride varnish | 4.3% | 6,315 | 6,259 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 6,073 | 6,042 | $23K |
| D1110 | Prophylaxis - adult | 4.0% | 2,627 | 2,602 | $22K |
| D0274 | Bitewings - four radiographic images | 3.7% | 3,836 | 3,798 | $20K |
14 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 1,065 | $18K |
| D0330 | Panoramic radiographic image | 2.9% | 1,706 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 888 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 1,496 | $11K |
| D1351 | Sealant - per tooth | 1.2% | 1,271 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 263 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 926 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 353 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 240 | $2K |
| D9248 | <1% | 42 | $567.69 | |
| D0160 | <1% | 12 | $36.81 | |
| D0603 | 0% | 1,275 | $0.00 | |
| D0601 | 0% | 2,014 | $0.00 | |
| D0602 | 0% | 1,823 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialHOLM, KEITH (OWNER)