Bumps on bottom of arms. Not itchy, pink, all on hands. Went to dermatologist & tried coconut oil, oatmeal lotion, fluocinonide, and aloe vera.

What did the dermato. What did the dermatologist say? None of the treatments you mention are likely to be of benefit for this. Your description is not enough for diagnosis. If your dermatologist is stumped he may ask another dermatologist for a consult. How much does it bother you? If not much distress you may wish to give it some timer. I can't believe any dr would charge you $230 ! insurance would pay 1/2 this!.