Botshekan, Holly

Botshekan, Holly was paid $59K by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 15% of everything it billed.

33Billing provider infoBOTSHEKAN, HOLLY
GLENDALE, AZ 85308

33aNPI1477676062assigned 04/09/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$59K

24GClaims9,311

24DCodes billed17

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Arizona

Rank by total paid#95 of 530

Median peer was paid$920.17

This provider vs. median64×

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	1,868	$10K
2019	2,362	$16K
2020	955	$6K
2021	1,800	$14K
2022	1,192	$8K
2023	773	$4K
2024incomplete	361	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	15%	690	670	$9K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	1,027	990	$7K
D0220	Intraoral - periapical first radiographic image	12%	2,093	1,941	$7K
D1208	Topical application of fluoride, excluding varnish	11%	1,156	1,135	$6K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	9.7%	279	68	$6K
D0274	Bitewings - four radiographic images	9.2%	789	761	$5K
D0140	Limited oral evaluation - problem focused	9.0%	671	625	$5K
D0230	Intraoral - periapical each additional radiographic image	7.6%	1,695	1,400	$4K
D2335		4.1%	138	40	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	3.6%	112	26	$2K
D1321		1.8%	300	294	$1K
D0330	Panoramic radiographic image	1.7%	104	90	$1K

5 more codes

D1120	Dental cleaning, child	1.4%	108	$846.82
D0210	Intraoral - complete series of radiographic images	1.3%	57	$783.34
D0150	Comprehensive oral evaluation - new or established patient	<1%	59	$396.50
D2950		<1%	13	$127.01
D1999		<1%	20	$22.50

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.