Dental
Holem, Lan-Tu
Holem, Lan-Tu was paid $518K by Medicaid between Jan 2018 and Jun 2020, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoHOLEM, LAN-TU
MEXICO, MO 65265
MEXICO, MO 65265
33aNPI1902892235assigned 09/22/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$518K
24GClaims13,038
24DCodes billed20
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#31 of 260
Median peer was paid$78K
This provider vs. median6.6×
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 | 6,462 | $330K | |
| 2019 | 5,907 | $173K | |
| 2020 | 669 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 702 | 491 | $84K |
| D1206 | Topical application of fluoride varnish | 11% | 2,203 | 2,121 | $59K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,559 | 1,495 | $55K |
| D1110 | Prophylaxis - adult | 7.9% | 698 | 673 | $41K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 1,442 | 1,387 | $40K |
| D0330 | Panoramic radiographic image | 6.8% | 442 | 432 | $35K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.1% | 361 | 258 | $32K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 1,140 | 701 | $27K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.9% | 144 | 115 | $25K |
| D0272 | Bitewings - two radiographic images | 4.9% | 995 | 958 | $25K |
| D1351 | Sealant - per tooth | 4.1% | 755 | 268 | $21K |
| D0274 | Bitewings - four radiographic images | 3.1% | 556 | 548 | $16K |
8 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 952 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | 2.6% | 161 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 271 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 1.4% | 380 | $7K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 147 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 45 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 46 | $536.00 |
| D0240 | <1% | 39 | $239.00 |
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.