Dental
Holt, Jason
Holt, Jason was paid $44K by Medicaid between Apr 2020 and Dec 2023, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.
33Billing provider infoHOLT, JASON
MILWAUKEE, WI 53208
MILWAUKEE, WI 53208
33aNPI1588103097assigned 02/16/2017
33bProvider typePediatric Dentist
28Total paid$44K
24GClaims2,644
24DCodes billed12
24AFirst – last monthApr 2020 – Dec 2023
Compared with peers
Next to other Pediatric Dentist providers in Wisconsin
Rank by total paid#35 of 61
Median peer was paid$85K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2020 | 290 | $3K | |
| 2021 | 649 | $7K | |
| 2022 | 624 | $11K | |
| 2023 | 1,081 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 770 | 723 | $14K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 19% | 221 | 210 | $8K |
| D1206 | Topical application of fluoride varnish | 17% | 805 | 756 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 327 | 315 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 225 | 210 | $3K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.3% | 36 | 25 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 4.4% | 51 | 26 | $2K |
| D0272 | Bitewings - two radiographic images | 1.9% | 55 | 55 | $824.89 |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 60 | 58 | $650.00 |
| D0330 | Panoramic radiographic image | <1% | 15 | 15 | $342.90 |
| D1354 | <1% | 49 | 12 | $156.86 | |
| D1330 | 0% | 30 | 29 | $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.