Dental
Ardoin, Holly
Ardoin, Holly was paid $18K by Medicaid between Feb 2024 and May 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoARDOIN, HOLLY
ABILENE, TX 79606
ABILENE, TX 79606
33aNPI1558856328assigned 06/25/2018
33bProvider typePediatric Dentist
28Total paid$18K
24GClaims950
24DCodes billed13
24AFirst – last monthFeb 2024 – May 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#549 of 693
Median peer was paid$252K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 950 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 105 | 105 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 105 | 105 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | 12% | 16 | 16 | $2K |
| D1206 | Topical application of fluoride varnish | 9.5% | 120 | 120 | $2K |
| D0272 | Bitewings - two radiographic images | 8.7% | 83 | 83 | $2K |
| D1351 | Sealant - per tooth | 7.9% | 54 | 13 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 5.9% | 126 | 126 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 125 | 121 | $955.33 |
| D0210 | Intraoral - complete series of radiographic images | 4.6% | 13 | 13 | $847.68 |
| D0330 | Panoramic radiographic image | 4.4% | 19 | 19 | $811.05 |
| D0274 | Bitewings - four radiographic images | 2.3% | 13 | 13 | $415.32 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 14 | 14 | $379.54 |
1 more codes
| D0603 | 0% | 157 | $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.