Holdaway, Gaylan

Holdaway, Gaylan was paid $201K by Medicaid between Jan 2019 and Aug 2020, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.

33Billing provider infoHOLDAWAY, GAYLAN
MERIDIAN, ID 83646

33aNPI1528293255assigned 05/26/2009

33bProvider typeDentist

28Total paid$201K

24GClaims5,513

24DCodes billed19

24AFirst – last monthJan 2019 – Aug 2020

Compared with peers

Next to other Dentist providers in Idaho

Rank by total paid#19 of 89

Median peer was paid$16K

This provider vs. median13×

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
2019	2,203	$67K
2020	3,310	$134K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	32%	663	661	$64K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	23%	791	412	$46K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	19%	219	155	$39K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	9.1%	128	54	$18K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.6%	434	243	$9K
D0150	Comprehensive oral evaluation - new or established patient	4.3%	762	760	$9K
D4341		4.0%	105	37	$8K
D0140	Limited oral evaluation - problem focused	1.5%	132	131	$3K
D0210	Intraoral - complete series of radiographic images	<1%	17	16	$2K
D7140	Extraction, erupted tooth or exposed root	<1%	51	12	$1K
D0330	Panoramic radiographic image	<1%	53	53	$1K
D2331		<1%	20	14	$643.18

7 more codes

D1120	Dental cleaning, child	<1%	13	$158.78
D0274	Bitewings - four radiographic images	<1%	655	$77.32
D2330		<1%	14	$66.56
D0120	Dental checkup, returning patient	<1%	40	$19.24
D0220	Intraoral - periapical first radiographic image	<1%	774	$9.22
D0230	Intraoral - periapical each additional radiographic image	0%	630	$0.00
D1208	Topical application of fluoride, excluding varnish	0%	12	$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.