GERVICH, MOLLY
NPI: 1861796013
· DEERWOOD, MN 56444
· General Practice Dentistry
· NPI assigned 01/03/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
186 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
26 |
26 |
$2K |
| D1110 |
Prophylaxis - adult |
23 |
23 |
$1K |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$1K |
| D1206 |
Topical application of fluoride varnish |
36 |
36 |
$975.60 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
23 |
23 |
$915.18 |
| D1120 |
Prophylaxis - child |
18 |
18 |
$657.00 |
| D0120 |
Periodic oral evaluation - established patient |
18 |
18 |
$569.61 |
| D1330 |
|
15 |
15 |
$296.10 |