MERIT DENTAL INC.
NPI: 1740791524
· FREEPORT, PA 16229
· General Practice Dentistry
· NPI assigned 10/19/2017
$712.00
Total Medicaid Paid
Provider Details
| Authorized Official | BRION-MARTIN, DIANE (CREDENTIALING TEAM LEAD) |
| NPI Enumeration Date | 10/19/2017 |
Related Entities
Other providers sharing the same authorized official: BRION-MARTIN, DIANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
26 |
$712.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$432.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$280.00 |