Dental
Holm, Michael
Holm, Michael was paid $2K by Medicaid between Aug 2024 and Nov 2024, across 13 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 18% of everything it billed.
33Billing provider infoHOLM, MICHAEL
GRANTS PASS, OR 97526
GRANTS PASS, OR 97526
33aNPI1891020806assigned 10/08/2009
33bProvider typeDentist
28Total paid$2K
24GClaims637
24DCodes billed13
24AFirst – last monthAug 2024 – Nov 2024
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#171 of 233
Median peer was paid$19K
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 | 637 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 18% | 49 | 48 | $455.00 |
| D1206 | Topical application of fluoride varnish | 15% | 82 | 82 | $380.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 58 | 42 | $284.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 27 | 27 | $266.00 |
| D0220 | Intraoral - periapical first radiographic image | 10% | 89 | 88 | $260.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 7.6% | 107 | 44 | $189.00 |
| D0274 | Bitewings - four radiographic images | 7.0% | 30 | 30 | $174.00 |
| D7140 | Extraction, erupted tooth or exposed root | 6.4% | 16 | 13 | $160.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 53 | 53 | $140.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 3.2% | 12 | 12 | $80.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 38 | 27 | $56.00 |
| D1110 | Prophylaxis - adult | 1.9% | 13 | 13 | $47.00 |
1 more codes
| D1310 | 0% | 63 | $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.