Managed care
Gary Blaich D.D.S., P.A.
Gary Blaich D.D.S., P.A. was paid $556K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoGARY BLAICH D.D.S., P.A.
COFFEYVILLE, KS 67337
COFFEYVILLE, KS 67337
33aNPI1619191251assigned 04/13/2007
33bProvider typePreferred Provider Organization
28Total paid$556K
24GClaims17,240
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
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 | 2,411 | $71K | |
| 2019 | 1,918 | $48K | |
| 2020 | 1,568 | $42K | |
| 2021 | 1,784 | $54K | |
| 2022 | 2,203 | $73K | |
| 2023 | 3,448 | $120K | |
| 2024incomplete | 3,908 | $147K |
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 | 19% | 1,345 | 785 | $104K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 2,629 | 2,587 | $84K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 3,433 | 3,387 | $77K |
| D1110 | Prophylaxis - adult | 13% | 1,595 | 1,575 | $71K |
| D1206 | Topical application of fluoride varnish | 13% | 3,839 | 3,782 | $70K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.8% | 625 | 396 | $44K |
| D0272 | Bitewings - two radiographic images | 7.6% | 1,964 | 1,933 | $42K |
| D0274 | Bitewings - four radiographic images | 4.4% | 773 | 761 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 535 | 523 | $17K |
| D0330 | Panoramic radiographic image | 1.9% | 221 | 215 | $11K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 81 | 66 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 187 | 185 | $4K |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | $172.07 |
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.
From NPPES
Who's on the registration
Authorized officialBLAICH, GARY (PRESIDENT)