MERCY MEDICAL GROUP
NPI: 1932219383
· PONTIAC, MI 48341
· General Practice Dentistry
· NPI assigned 08/30/2006
Provider Details
| Authorized Official | WEINER, JACK (PRESIDENT & CEO) |
| NPI Enumeration Date | 08/30/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15 |
$243.10 |
| 2019 |
12 |
$178.68 |
| 2020 |
41 |
$593.06 |
| 2021 |
51 |
$559.97 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
44 |
40 |
$795.60 |
| D0120 |
Periodic oral evaluation - established patient |
37 |
37 |
$518.15 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$175.68 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$85.38 |