Clinic
Miracle Lane Family Dentistry P.C.
Miracle Lane Family Dentistry P.C. was paid $5.14M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D1351, Sealant - per tooth — 13% of everything it billed.
33Billing provider infoMIRACLE LANE FAMILY DENTISTRY P.C.
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
33aNPI1093122418assigned 07/17/2014
33bProvider typeDental Clinic/Center
28Total paid$5.14M
24GClaims165,637
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#4 of 123
Median peer was paid$191K
This provider vs. median27×
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 | 29,576 | $100K | |
| 2019 | 32,951 | $1.18M | |
| 2020 | 18,939 | $678K | |
| 2021 | 20,996 | $746K | |
| 2022 | 18,410 | $653K | |
| 2023 | 23,082 | $922K | |
| 2024incomplete | 21,683 | $869K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 13% | 28,776 | 7,758 | $680K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 17,643 | 16,406 | $495K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 25,171 | 23,400 | $479K |
| D1110 | Prophylaxis - adult | 8.8% | 10,696 | 9,950 | $452K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 6,554 | 4,197 | $392K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.4% | 2,492 | 1,335 | $331K |
| D1206 | Topical application of fluoride varnish | 6.0% | 16,706 | 15,526 | $309K |
| D0210 | Intraoral - complete series of radiographic images | 5.3% | 4,603 | 4,223 | $275K |
| D1354 | 4.5% | 4,192 | 1,323 | $231K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 8,637 | 7,570 | $214K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 3,920 | 2,771 | $188K |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 9,881 | 9,207 | $176K |
19 more codes
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 3.3% | 365 | $171K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 4,188 | $131K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.3% | 1,392 | $116K |
| D0274 | Bitewings - four radiographic images | 2.2% | 3,792 | $114K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 3,364 | $100K |
| D0272 | Bitewings - two radiographic images | 1.8% | 5,064 | $94K |
| D0330 | Panoramic radiographic image | 1.2% | 1,191 | $64K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,760 | $41K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 717 | $35K |
| D7111 | <1% | 529 | $22K | |
| D2335 | <1% | 121 | $11K | |
| D2931 | <1% | 114 | $11K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,280 | $8K |
| D2330 | <1% | 32 | $2K | |
| D1320 | <1% | 37 | $1K | |
| D0240 | <1% | 165 | $425.50 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 18 | $200.46 |
| D0603 | 0% | 195 | $0.00 | |
| D0602 | 0% | 42 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialMERRITT-BROOKS, BRIDGET (DENTIST/OWNER)