Dental
Bolt, Daniel
Bolt, Daniel was paid $258K by Medicaid between Jan 2018 and Feb 2020, across 17 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 29% of everything it billed.
33Billing provider infoBOLT, DANIEL
HOLLAND, MI 49423
HOLLAND, MI 49423
33aNPI1811069198assigned 11/14/2006
33bProvider typePediatric Dentist
28Total paid$258K
24GClaims4,114
24DCodes billed17
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#90 of 153
Median peer was paid$464K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2018 | 2,070 | $189K | |
| 2019 | 1,772 | $63K | |
| 2020 | 272 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 29% | 388 | 129 | $75K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 332 | 177 | $40K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 12% | 241 | 103 | $31K |
| D9420 | 7.3% | 132 | 132 | $19K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.6% | 160 | 94 | $15K |
| D2330 | 5.4% | 171 | 94 | $14K | |
| D7140 | Extraction, erupted tooth or exposed root | 5.1% | 167 | 88 | $13K |
| D2331 | 4.6% | 111 | 56 | $12K | |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 432 | 431 | $8K |
| D1206 | Topical application of fluoride varnish | 2.3% | 466 | 465 | $6K |
| D0240 | 1.8% | 232 | 121 | $5K | |
| D0272 | Bitewings - two radiographic images | 1.7% | 384 | 381 | $4K |
5 more codes
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.