GARY BLAICH D.D.S., P.A.
NPI: 1619191251
· COFFEYVILLE, KS 67337
· 305R00000X
$556K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
3,908 |
$147K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,345 |
785 |
$104K |
| D1120 |
|
2,629 |
2,587 |
$84K |
| D0120 |
|
3,433 |
3,387 |
$77K |
| D1110 |
|
1,595 |
1,575 |
$71K |
| D1206 |
|
3,839 |
3,782 |
$70K |
| D2391 |
|
625 |
396 |
$44K |
| D0272 |
|
1,964 |
1,933 |
$42K |
| D0274 |
|
773 |
761 |
$25K |
| D0150 |
|
535 |
523 |
$17K |
| D0330 |
|
221 |
215 |
$11K |
| D2393 |
|
81 |
66 |
$7K |
| D1208 |
|
187 |
185 |
$4K |
| D0220 |
|
13 |
13 |
$172.07 |