HOLT, NATHAN
NPI: 1437384500
· DRAPER, UT 84020
· General Practice Dentistry
· NPI assigned 05/19/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
24 |
$785.61 |
| 2024 |
138 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
25 |
25 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
43 |
43 |
$1K |
| D4910 |
|
12 |
12 |
$920.88 |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$849.55 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$414.23 |
| D1206 |
Topical application of fluoride varnish |
17 |
17 |
$406.75 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
16 |
$324.78 |
| D0270 |
|
12 |
12 |
$230.28 |