GUENGERICH, GARY
NPI: 1265445910
· PEKIN, IL 61554
· General Practice Dentistry
· NPI assigned 08/14/2006
$1.47M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
405 |
$10K |
| 2020 |
950 |
$26K |
| 2021 |
6,394 |
$184K |
| 2022 |
13,416 |
$435K |
| 2023 |
13,158 |
$420K |
| 2024 |
12,399 |
$396K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
8,632 |
4,435 |
$485K |
| D1120 |
Prophylaxis - child |
10,135 |
9,926 |
$417K |
| D0120 |
Periodic oral evaluation - established patient |
10,583 |
10,330 |
$300K |
| D1206 |
Topical application of fluoride varnish |
10,334 |
10,125 |
$270K |
| D0602 |
|
1,996 |
1,976 |
$0.00 |
| D0603 |
|
864 |
857 |
$0.00 |
| D0601 |
|
4,178 |
4,127 |
$0.00 |