Holt, Matthew

Holt, Matthew was paid $121K by Medicaid between Jan 2018 and Apr 2022, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.

33Billing provider infoHOLT, MATTHEW
FAIRFIELD, IA 52556

33aNPI1972942662assigned 06/17/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$121K

24GClaims4,574

24DCodes billed8

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#100 of 437

Median peer was paid$22K

This provider vs. median5.5×

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	1,252	$36K
2019	1,277	$35K
2020	826	$21K
2021	931	$22K
2022	288	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	37%	1,268	1,241	$45K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	1,946	1,864	$35K
D1120	Dental cleaning, childProphylaxis - child	14%	622	579	$17K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	7.5%	127	95	$9K
D0274	Bitewings - four radiographic images	6.2%	293	290	$7K
D1208	Topical application of fluoride, excluding varnish	3.1%	232	221	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.8%	61	52	$3K
D1206	Topical application of fluoride varnish	<1%	25	25	$394.83

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.