MICHAEL J. MERDA
NPI: 1063010163
· OTSEGO, MI 49078
· Dental Clinic/Center
· NPI assigned 10/12/2020
$997.46
Total Medicaid Paid
Provider Details
| Authorized Official | MERDA, MICHAEL (OWNER) |
| NPI Enumeration Date | 10/12/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
42 |
$997.46 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
13 |
13 |
$448.54 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$276.77 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$272.15 |