GROUP HEALTH PLAN, INC
NPI: 1992915649
· STILLWATER, MN 55082
· Dentist
· NPI assigned 05/23/2007
$218K
Total Medicaid Paid
Provider Details
| Authorized Official | GESKO, DAVID (SR. VP/DENTAL DIR.) |
| Parent Organization | GROUP HEALTH PLAN, INC |
| NPI Enumeration Date | 05/23/2007 |
Related Entities
Other providers sharing the same authorized official: GESKO, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$799.74 |
| 2019 |
419 |
$16K |
| 2020 |
1,142 |
$44K |
| 2021 |
1,467 |
$62K |
| 2022 |
1,011 |
$39K |
| 2023 |
676 |
$28K |
| 2024 |
653 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,074 |
1,064 |
$61K |
| D1206 |
Topical application of fluoride varnish |
1,393 |
1,381 |
$43K |
| D0120 |
Periodic oral evaluation - established patient |
1,028 |
1,017 |
$36K |
| D0274 |
Bitewings - four radiographic images |
708 |
704 |
$29K |
| D0330 |
Panoramic radiographic image |
249 |
248 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
285 |
284 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
275 |
263 |
$10K |
| D1120 |
Prophylaxis - child |
127 |
125 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
138 |
133 |
$2K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$486.59 |
| D1999 |
|
106 |
92 |
$0.00 |