Dental
Mercersburg Family Dentistry
Mercersburg Family Dentistry was paid $115K by Medicaid between Aug 2022 and Dec 2024, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoMERCERSBURG FAMILY DENTISTRY
MERCERSBURG, PA 17236
MERCERSBURG, PA 17236
33aNPI1851728232assigned 10/01/2013
33bProvider typeDentist
28Total paid$115K
24GClaims3,868
24DCodes billed14
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#192 of 683
Median peer was paid$34K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2022 | 28 | $649.50 | |
| 2023 | 47 | $1K | |
| 2024incomplete | 3,793 | $113K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 838 | 833 | $23K |
| D1110 | Prophylaxis - adult | 18% | 550 | 546 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 247 | 172 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 383 | 381 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.1% | 133 | 102 | $11K |
| D0274 | Bitewings - four radiographic images | 6.9% | 284 | 281 | $8K |
| D1206 | Topical application of fluoride varnish | 6.3% | 388 | 386 | $7K |
| D0330 | Panoramic radiographic image | 3.8% | 113 | 112 | $4K |
| D0601 | 3.5% | 407 | 405 | $4K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 51 | 42 | $3K |
| D1330 | 1.7% | 404 | 402 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 39 | 38 | $1K |
2 more codes
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.
From NPPES
Who's on the registration
Authorized officialHUGHES, JACQUELINE (OWNER/DOCTOR)