GERLACH FAMILY DENTISTRY PSC
NPI: 1043447014
· LOUISVILLE, KY 40214
· General Practice Dentistry
· NPI assigned 06/17/2009
Provider Details
| Authorized Official | BISCH, AMANDA (ADMINISTRATION) |
| NPI Enumeration Date | 06/17/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
167 |
$6K |
| 2024 |
212 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
168 |
162 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
143 |
138 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
13 |
$390.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$370.89 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
12 |
$225.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
12 |
$131.93 |
| D9986 |
|
12 |
12 |
$36.00 |