HOLTZEN, RICHARD
NPI: 1588608616
· MISSOULA, MT 59801
· Specialist
· NPI assigned 06/16/2006
$1.85M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,580 |
$130K |
| 2019 |
2,201 |
$225K |
| 2020 |
2,161 |
$218K |
| 2021 |
3,574 |
$361K |
| 2022 |
4,049 |
$315K |
| 2023 |
4,460 |
$354K |
| 2024 |
3,843 |
$250K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
6,559 |
1,641 |
$611K |
| D7230 |
|
3,796 |
928 |
$601K |
| D9243 |
|
3,653 |
2,784 |
$241K |
| D9239 |
|
3,570 |
2,785 |
$220K |
| D9310 |
|
3,960 |
3,035 |
$163K |
| D0330 |
Panoramic radiographic image |
228 |
180 |
$9K |
| D7250 |
|
33 |
12 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
69 |
69 |
$3K |