Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KS › Coffeyville › NPI 1619191251
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
33aNPI1619191251assigned 04/13/2007
28Total paid$556K
24GClaims17,240
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20182,411$71K
20191,918$48K
20201,568$42K
20211,784$54K
20222,203$73K
20233,448$120K
2024incomplete3,908$147K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)