Dental
Haefele, Miranda
Haefele, Miranda was paid $52K by Medicaid between Jan 2018 and Mar 2018, across 14 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 28% of everything it billed.
33Billing provider infoHAEFELE, MIRANDA
CASPER, WY 82609
CASPER, WY 82609
33aNPI1104173517assigned 08/06/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$52K
24GClaims1,272
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2018
Compared with peers
Next to other General Practice Dentistry providers in Wyoming
Rank by total paid#16 of 64
Median peer was paid$6K
This provider vs. median8.2×
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 | 1,272 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 28% | 152 | 55 | $14K |
| D1351 | Sealant - per tooth | 20% | 365 | 63 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 161 | 160 | $5K |
| D1110 | Prophylaxis - adult | 8.5% | 88 | 87 | $4K |
| D1206 | Topical application of fluoride varnish | 7.3% | 108 | 108 | $4K |
| D0274 | Bitewings - four radiographic images | 6.9% | 104 | 103 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.4% | 77 | 77 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 23 | 15 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 39 | 39 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 87 | 60 | $1K |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 30 | 30 | $1K |
| D9110 | 1.4% | 13 | 12 | $723.00 |
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.