HOLTON, HEATHER
NPI: 1639607112
· HUDSONVILLE, MI 49426
· General Practice Dentistry
· NPI assigned 05/30/2017
$611.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$611.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$336.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$275.00 |