Mertzel, James

Mertzel, James was paid $17K by Medicaid between Jan 2018 and Aug 2019, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.

33Billing provider infoMERTZEL, JAMES
SUNLAND, CA 91040

33aNPI1740258482assigned 03/09/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$17K

24GClaims511

24DCodes billed6

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,055 of 2,668

Median peer was paid$173K

This provider vs. median0.1×

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
2018	451	$14K
2019	60	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	43%	137	131	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	205	200	$6K
D1120	Dental cleaning, childProphylaxis - child	11%	73	73	$2K
D0150	Comprehensive oral evaluation - new or established patient	9.4%	40	40	$2K
D0274	Bitewings - four radiographic images	3.4%	42	41	$590.40
D1206	Topical application of fluoride varnish	<1%	14	14	$72.00

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.