GRANT K. GILLISH D.D.S., P.L.L.C.
NPI: 1801319025
· WHITEHALL, MI 49461
· Dentist
· NPI assigned 07/19/2017
$146K
Total Medicaid Paid
Provider Details
| Authorized Official | GILLISH, GRANT (OWNER/DENTIST) |
| NPI Enumeration Date | 07/19/2017 |
Related Entities
Other providers sharing the same authorized official: GILLISH, GRANT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
564 |
$14K |
| 2020 |
893 |
$18K |
| 2021 |
1,063 |
$27K |
| 2022 |
1,033 |
$28K |
| 2023 |
1,136 |
$34K |
| 2024 |
792 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,339 |
1,338 |
$48K |
| D0120 |
Periodic oral evaluation - established patient |
1,663 |
1,660 |
$38K |
| D1206 |
Topical application of fluoride varnish |
1,604 |
1,603 |
$33K |
| D1110 |
Prophylaxis - adult |
383 |
380 |
$14K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
63 |
39 |
$7K |
| D0272 |
Bitewings - two radiographic images |
106 |
106 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
20 |
12 |
$2K |
| D0274 |
Bitewings - four radiographic images |
112 |
112 |
$2K |
| D1999 |
|
191 |
175 |
$0.00 |