MERIT DENTAL MICHIGAN PC
NPI: 1952737538
· PORTAGE, MI 49024
· Dentist
· NPI assigned 09/16/2013
$161K
Total Medicaid Paid
Provider Details
| Authorized Official | MOOS, JEFFREY (OWNER) |
| NPI Enumeration Date | 09/16/2013 |
Related Entities
Other providers sharing the same authorized official: MOOS, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
96 |
$3K |
| 2019 |
12 |
$112.00 |
| 2020 |
804 |
$23K |
| 2021 |
1,285 |
$36K |
| 2022 |
1,295 |
$38K |
| 2023 |
1,131 |
$34K |
| 2024 |
886 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,361 |
1,361 |
$51K |
| D0120 |
Periodic oral evaluation - established patient |
1,760 |
1,759 |
$45K |
| D1206 |
Topical application of fluoride varnish |
1,645 |
1,645 |
$38K |
| D1110 |
Prophylaxis - adult |
430 |
430 |
$20K |
| D0274 |
Bitewings - four radiographic images |
79 |
79 |
$2K |
| D0272 |
Bitewings - two radiographic images |
96 |
96 |
$2K |
| D1351 |
Sealant - per tooth |
58 |
15 |
$2K |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$814.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$617.45 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$204.00 |
| D1999 |
|
27 |
26 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
12 |
12 |
$0.00 |