Gervich, Molly

Gervich, Molly was paid $8K by Medicaid between Jan 2020 and Jan 2020, across 8 billing codes. Its largest line is D0330, Panoramic radiographic image — 27% of everything it billed.

33Billing provider infoGERVICH, MOLLY
DEERWOOD, MN 56444

33aNPI1861796013assigned 01/03/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims186

24DCodes billed8

24AFirst – last monthJan 2020 – Jan 2020

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#221 of 368

Median peer was paid$19K

This provider vs. median0.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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
2020	186	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0330	Panoramic radiographic image	27%	26	26	$2K
D1110	Prophylaxis - adult	16%	23	23	$1K
D0274	Bitewings - four radiographic images	14%	27	27	$1K
D1206	Topical application of fluoride varnish	12%	36	36	$975.60
D0150	Comprehensive oral evaluation - new or established patient	12%	23	23	$915.18
D1120	Dental cleaning, childProphylaxis - child	8.4%	18	18	$657.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.3%	18	18	$569.61
D1330		3.8%	15	15	$296.10

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.